Benjamin Nord Johnson, CMT
Individual provider Active NPI Massage Therapist · Albertville, MN
NPI 1871260232 · NPPES record last updated Aug 24, 2021
Key facts
- NPI
- 1871260232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 10904 57TH St NE
Albertville, MN 55301-4658 - Phone
- (612) 512-9305
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
10904 57TH St NE
Albertville, MN 55301-4658
Mailing address
3678 Brentwood Dr
Monticello, MN 55362-8730
Phone (612) 512-9305
Other providers in Albertville, MN
- Ideal Home Assessments
- Ife - MN, Inc
- Independent School District #885
- Michelle Lee Jerdin
- Amanda Nycol Johnson
- Sarah Elizabeth Jones-Witthuhn
- Joynest Services LLC
- Haley Kampf
- Jennifer Kessler
- Nadezhda Kobzar
All providers in Albertville, MN · Massage Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.