IndividualActive
Autumn Johnson
NPI 1639422652 · Massage Therapist · Baltimore, MD
Provider details
- NPI number
- 1639422652
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- M04778 (MD)
Practice location
6903 Bonnie Ridge Dr
Apt T1
Baltimore, MD 21209-5164
Phone: (443) 570-5726
Mailing address
6903 Bonnie Ridge Dr
Baltimore, MD 21209-5164
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.