Raemell Cherrod Johnson, LMT
Massage Therapist in Kenmore, NY. Individual provider (NPI-1).
NPI number1104792118
StatusActive
Last updated in NPPESOct 15, 2025
Details
- NPI
- 1104792118
- Entity type
- Individual (NPI-1)
- Name
- Mr. Raemell Cherrod Johnson
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2025
- Certification date
- Oct 15, 2025
- Last updated
- Oct 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 034052 | NY | Yes |
Practice location
989 Kenmore AveKenmore, NY 14217-2924
Phone 716-335-9711
Mailing address
147 Deerfield AveBuffalo, NY 14215-3024
Phone 716-482-2028
Other practice locations
3850 Seneca St Lowr
West Seneca, NY 14224-3409
West Seneca, NY 14224-3409
Phone 716-400-5142
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All 29 Massage Therapist providers in Kenmore · All 1,108 providers in Kenmore
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