MEDICARE: MR. DAVID C JOHNSON LMT, NCTMB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	227010448	IL

General Provider Information

NPI Number	:	1629304712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID C JOHNSON LMT, NCTMB

Provider Business Mailing Address
First Line	:	102 N MAIN ST
Second Line	:
City	:	TROY
State	:	IL
Zip	:	62294-1129
Country	:	US
Telephone Number	:	618-667-9766
Fax Number	:	618-667-9770

Provider Business Practice Location Address
First Line	:	102 N MAIN ST
Second Line	:
City	:	TROY
State	:	IL
Zip	:	62294-1129
Country	:	US
Telephone Number	:	618-667-9766
Fax Number	:	618-667-9770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2009
Last Update Date	:	10/23/2009

Similar Medicare Providers

1528010956 — DR. TIMOTHY DAVID JOHNSON D.C.
Practice Location Address:

102 N MAIN ST
TROY, IL
62294-1129

Practice Phone: 618-667-9766
Practice Fax: 618-667-9770

1164603205 — JOHNSON FAMILY CHIROPRACTIC, INC.
Practice Location Address:

102 N MAIN ST
TROY, IL
62294-1129

Practice Phone: 618-667-9766
Practice Fax: 618-667-9770

1962118125 — DR. LAUREN ESTELLE SCHREIBER DC
Practice Location Address:

102 N MAIN ST
TROY, IL
62294-1129

Practice Phone: 618-806-1968
Practice Fax:

1255332342 — DR. WILLIAM KEVIN FALLIS DC
Practice Location Address:

115 S MAIN ST
TROY, IL
62294-1425

Practice Phone: 618-667-7003
Practice Fax:

1942280797 — DR. PHILIP F GOGEL M.D.
Practice Location Address:

505 BUCKEYE DR
TROY, IL
62294-2315

Practice Phone: 314-481-5000
Practice Fax: 314-481-3037

1710946280 — MR. RODNEY L LUPARDUS M.D.
Practice Location Address:

108 WEST US HIGHWAY 40
TROY, IL
62294

Practice Phone: 618-391-5065
Practice Fax: 618-667-2779

Directions to “ MR. DAVID C JOHNSON LMT, NCTMB” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.