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

Michele Johnson

Individual provider Massage Therapist · NPI 1063048007

Michele Johnson is a Massage Therapist in Roosevelt, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

148 Elmwood Ave
Roosevelt, NY 11575-1808
Phone: (516) 652-7145
Fax: (631) 829-9198
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 027537-1 (NY)
Massage Therapist Taxonomy 225700000X

Record details

NPI number1063048007
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2020
Last updated in NPPESMarch 22, 2020
Certification dateMarch 22, 2020
Mailing address148 Elmwood Ave, Roosevelt, NY 11575-1808

Other providers in Roosevelt