TRACEY JOHNSON (NPI# 1659621423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659621423 |
| Entity Type | Individual |
| Full Name | TRACEY JOHNSON |
| Credential | LMT |
| Practice Address |
618 4th Ave Suite 208 Bethlehem PA 18018-5575 |
| Mailing Address |
934 Cambridge Ave Bethlehem PA 18018-3221 |
| Practice Telephone | 4845541210 |
| Mailing Telephone | 4845541210 |
| Mailing Fax Number | 6109749778 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MSG001047 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
| 1932752474 | Tracey Raeanne Vannette Johnson | Case Manager/Care Coordinator | 120 Meadowville Rd, Chester, VA 23836-2622 | 2019-07-23 |
| 1124528948 | Tracey Lynn Johnson | Social Worker | 284 Carlton Ave Apt 1, Brooklyn, NY 11205-4619 | 2018-02-19 |
| 1700246873 | Tracey Johnson | Early Intervention Provider Agency | 12410 S Aberdeen St, Calumet Park, IL 60827-5806 | 2016-03-02 |
| 1821245754 | Tracey Renae Johnson | Pharmacist | 108 W Hendry St, Hinesville, GA 31313-3232 | 2008-08-21 |
| 1063605749 | Tracey E. Johnson | Counselor | 2304 Rogate Cir, 303, Baltimore, MD 21244-5736 | 2007-08-25 |
| 1124168877 | Tracey L Johnson | Counselor | 6009 Squire Ct, #1, Memphis, TN 38115-3226 | 2007-02-08 |
| 1710024971 | Tracey L Johnson | Counselor | 1307 College St Se, Lacey, WA 98503-2332 | 2007-01-30 |
| 1578828281 | Tracey Crew Johnson | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2012-07-09 |
| 1487748471 | Tracey Perry Johnson | Dental Hygienist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| Street Address |
618 4TH AVE SUITE 208 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-5575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417289653 | Judith N. Snyder | Counselor | 618 4th Ave, Suite 205, Bethlehem, PA 18018-5575 | 2010-02-12 |
| 1881993004 | Kristen Stepanczuk | Counselor | 618 4th Ave, Bethlehem, PA 18018-5575 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1356719496 | Beth Ann Gonzalez | Massage Therapist | 5015 Preakness Pl, Bethlehem, PA 18020-9404 | 2015-09-07 |
| 1922425412 | Leslie Ann Huertas | Massage Therapist | 726 5th Ave, Apt 2, Bethlehem, PA 18018-3651 | 2014-03-24 |
| 1861027427 | Jessica Sanchez | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018-5570 | 2020-03-04 |
| 1295380095 | Tania Horne | Massage Therapist | 3384 Easton Ave, Bethlehem, PA 18020-3450 | 2019-08-08 |
| 1912485533 | Sam Hamoui Jr. | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018-5570 | 2018-08-06 |
| 1740789932 | April Pilz | Massage Therapist | 701 W Union Blvd Unit 2, Bethlehem, PA 18018-3732 | 2018-02-02 |
| 1225421258 | Kristin Kymer | Massage Therapist | 227 W Broad St, Suite 102, Bethlehem, PA 18018-5570 | 2015-03-16 |
| 1104223387 | Wanda Jean Markley | Massage Therapist | 216 Nazareth Pike, Bethlehem, PA 18020-9414 | 2014-12-03 |
| 1013042142 | Thomas P Florio | Massage Therapist | 227 W Broad St, Suite 201, Bethlehem, PA 18018-5570 | 2007-02-22 |
| Find all providers in BETHLEHEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.