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

Shaniya Octavia Johnson, LMBT

Individual provider Massage Therapist · NPI 1528834249

Shaniya Octavia Johnson, LMBT is a Massage Therapist in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

2912 Lyndhurst Ave
Winston Salem, NC 27103-4006
Phone: (910) 360-3616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 20175 (NC)

Record details

NPI number1528834249
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMBT
Sole proprietorYes
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

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