Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jovhannah Tisdale, LMBT

Individual provider Massage Therapist · NPI 1588346027

Jovhannah Tisdale, LMBT is a Massage Therapist in Wake Forest, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

1788 Heritage Center Dr Ste 202
Wake Forest, NC 27587-3972
Phone: (919) 656-1088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 20691 (NC)

Record details

NPI number1588346027
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMBT
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESApril 20, 2024
Certification dateApril 20, 2024

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