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

Shannon Johnson

Individual provider Massage Therapist · NPI 1609719335

Shannon Johnson is a Massage Therapist in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1130 Wall St # 547
LA Jolla, CA 92037-4531
Phone: (303) 827-6567
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X (CA)

Record details

NPI number1609719335
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2026
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address1130 Wall St # 547, La Jolla, CA 92037-4531

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