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

Mickiah Johnson, LMT

Individual provider Massage Therapist · NPI 1508621244

Mickiah Johnson, LMT is a Massage Therapist in Eagle River, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

12641 Old Glenn Hwy Ste 202
Eagle River, AK 99577-7040
Phone: (907) 214-1303
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 226809 (AK)

Record details

NPI number1508621244
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 20, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address12641 Old Glenn Hwy Ste 202, Eagle River, AK 99577-7040

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