IndividualActive
Andrea Johnson, LMT
NPI 1104398015 · Massage Therapist · Bridgton, ME
Provider details
- NPI number
- 1104398015
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT4770 (ME)
Mailing address
854 Stow Rd
Stow, ME 04037-3234
Registry dates
- Enumerated
- 2018-12-18
- Last updated
- 2018-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.