Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871378273 Individual Practitioner Female Practitioner

Mariah Kelley Johnson

Massage Therapist • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Mariah Johnson is a registered healthcare professional specializing in Massage Therapist in Eagan, MN. Practice services are available at 4590 SCOTT TRAIL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4590 Scott Trail
110

Eagan, MN 55122

Telephone 6514541000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
31 Specialists

Practicing in Eagan, MN (1285 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

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License IA 093532

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

15 Associated Practitioners
NPI 1134457005

Doctor of Chiropractic

Veronica Suvid , LMT

Massage Therapist

NPI 1235455841

Licensed Massage Therapist

Karen Elorduy

Massage Therapist

NPI 1255954475
NPI 1306823265

Doctor of Chiropractic

Ross Rath

Chiropractor

NPI 1427646751
NPI 1497802623

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 25, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2023

Registered at 4590 SCOTT TRAIL, 110, EAGAN, MN 55122 (Tel: 6514541000)

📍
Updated Business Mailing Address August 25, 2023

Registered at 4590 SCOTT TRAIL, 110, EAGAN, MN 55122 (Tel: 6514541000)

👤
Provider Name / Credentials Updated August 25, 2023

Recorded as MARIAH JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2023

Massage Therapist (License #093532 in IA)

🟢
Initial NPI Registration & Enumeration August 25, 2023

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: 1871378273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2023
Last Update: August 25, 2023
Sole Proprietor: No

Mailing Address

4590 Scott Trail, 110

Eagan, MN 55122

Phone: 6514541000

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.