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

Michelle Elise Johnson, MT

Individual provider Massage Therapist · NPI 1790616902

Michelle Elise Johnson, MT is a Massage Therapist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

See every abbreviation used in this directory →

Practice location Address checks out

2627 W Altorfer Dr Ste A
Peoria, IL 61615-1867
Phone: (309) 693-8448
Fax: (309) 693-8438
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.024566 (IL)

Record details

NPI number1790616902
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorNo
NPI enumeratedMay 27, 2026
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address2627 W Altorfer Dr Ste A, Peoria, IL 61615-1867

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