Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508621244 Individual Practitioner Female Practitioner

Mickiah Johnson , LMT

Massage Therapist • Eagle River, AK

Professional Overview & Biography Verified Profile Summary

Mickiah Johnson, LMT is a registered healthcare professional specializing in Massage Therapist in Eagle River, AK. Practice services are available at 12641 OLD GLENN HWY STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12641 Old Glenn Hwy Ste 202

Eagle River, AK 995777040

Telephone 9072141303
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Eagle River, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
66 Specialists

Practicing in Eagle River, AK (1205 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-15
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License AK 226809

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Angela Choi , LPC, NCC

Counselor - Mental Health

NPI 1609586379

Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 15, 2024

Registered at 12641 OLD GLENN HWY STE 202, EAGLE RIVER, AK 995777040 (Tel: 9072141303)

📍
Updated Business Mailing Address July 15, 2024

Registered at 12641 OLD GLENN HWY STE 202, EAGLE RIVER, AK 995777040 (Tel: 9072141303)

👤
Provider Name / Credentials Updated July 15, 2024

Recorded as MICKIAH JOHNSON, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2024

Massage Therapist (License #226809 in AK)

NPI Profile Active February 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2024

Registered at 18452 JUDE ISLAND CIR, EAGLE RIVER, AK 99577 (Tel: 9077079537)

📍
Updated Business Mailing Address February 20, 2024

Registered at 18452 JUDE ISLAND CIR, EAGLE RIVER, AK 99577 (Tel: 9077079537)

👤
Provider Name / Credentials Updated February 20, 2024

Recorded as MICKIAH JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2024

Massage Therapist

🟢
Initial NPI Registration & Enumeration February 20, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508621244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2024
Last Update: July 15, 2024
Sole Proprietor: Yes

Mailing Address

12641 Old Glenn Hwy Ste 202

Eagle River, AK 995777040

Phone: 9072141303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.