Tyler Johnson, LMT, CCMA, CNA

Massage Therapist · Oak Forest, IL

Individual Active NPI

NPI number 1669195525

Practice location

15000 Cicero Ave Ste 100
Oak Forest, IL 60452-1480
Phone
(219) 315-0565

Open in Google Maps

NPI record

NPI
1669195525
Entity type
Individual (Type 1)
Enumeration date
September 26, 2022
Last updated
September 26, 2022
Certified
September 24, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 227022331 IL
Nurse's Aide 376K00000X CNA1003930 IN

Mailing address

5613 Hyles Blvd
Hammond, IN 46320-1971
Phone
(219) 315-3333

About Tyler Johnson

Tyler Johnson, LMT, CCMA, CNA is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 15000 Cicero Ave Ste 100, Oak Forest, IL 60452-1480. The NPI number 1669195525 was assigned on September 26, 2022 and the record was last updated on September 26, 2022.

Tyler Johnson lists 2 licenses in the registry: #227022331 (IL) for Massage Therapist; #CNA1003930 (IN) for Nurse's Aide. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyler Johnson, LMT, CCMA, CNA?

The NPI number is 1669195525.

What is the phone number of Tyler Johnson?

The phone number listed for the practice location is (219) 315-0565.

Where is Tyler Johnson located?

15000 Cicero Ave Ste 100, Oak Forest, IL 60452-1480.

What is the taxonomy code for Tyler Johnson?

The primary taxonomy code is 225700000X – Massage Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Massage Therapist providers in Oak Forest

All Massage Therapist providers in Oak Forest, IL →