Individual
KEVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10119 INWOOD SHADOWS ST, HOUSTON, TX 77088-2224
(785) 979-4688
Mailing address
10119 INWOOD SHADOWS ST, HOUSTON, TX 77088-2224
(785) 979-4688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT137380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41191233
DRIVER LICENSE
TX
Enumeration date
06/15/2026
Last updated
06/15/2026
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