Individual
NICOLE ALEXANDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
4735 SHARON RD STE 114, CHARLOTTE, NC 28210-3327
(704) 621-3037
Mailing address
4735 SHARON RD STE 114, CHARLOTTE, NC 28210-3327
(704) 621-3037
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12054
NORTH CAROLINA BORD OF MASSAGE AND BODYWORK
NC
Enumeration date
12/01/2022
Last updated
02/19/2026
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