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

Wyatt Richard Johnson, LMT

Individual provider Massage Therapist · NPI 1194410100

Wyatt Richard Johnson, LMT is a Massage Therapist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

5261 N Port Washington Rd Ste 101
Milwaukee, WI 53217-4903
Phone: (414) 332-6001
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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 15697-146 (WI)

Record details

NPI number1194410100
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedApril 6, 2023
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

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