MEDICARE: MRS. AMANDA FAY JOHNSON LMT

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	L475986	MI

General Provider Information

NPI Number	:	1508269333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA FAY JOHNSON LMT

Provider Business Mailing Address
First Line	:	33234 WILLOW RD
Second Line	:
City	:	NEW BOSTON
State	:	MI
Zip	:	48164-9540
Country	:	US
Telephone Number	:	734-778-4808
Fax Number	:

Provider Business Practice Location Address
First Line	:	33234 WILLOW RD
Second Line	:
City	:	NEW BOSTON
State	:	MI
Zip	:	48164-9540
Country	:	US
Telephone Number	:	734-778-4808
Fax Number	:

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

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	10/07/2014

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1073689394 — DR. LEE ALAN SCHRIVER DC
Practice Location Address:

5780 YORK RD
NEW OXFORD, PA
17350-9540

Practice Phone: 717-624-2724
Practice Fax: 717-624-8789

1891070504 — MRS. RONDA KAY BEATTY RN
Practice Location Address:

305 DAVIS ST
NEW STRAITSVILLE, OH
43766-9540

Practice Phone: 740-605-4316
Practice Fax:

1407592835 — HANNAH WALES
Practice Location Address:

7458 E COUNTY ROAD 300 S
NEW CASTLE, IN
47362-9540

Practice Phone: 765-465-7337
Practice Fax: 765-644-0500

1558295998 — JEFFREY COCHRAN
Practice Location Address:

28375 WALTZ RD
NEW BOSTON, MI
48164-9319

Practice Phone: 313-286-5389
Practice Fax:

1205827383 — DR. PAUL KENT VOREIS O.D.
Practice Location Address:

17901 HURON RIVER DR , SUITE 101
NEW BOSTON, MI
48164-3200

Practice Phone: 734-753-9360
Practice Fax: 734-753-9311

Directions to “ MRS. AMANDA FAY JOHNSON LMT” 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.