Individual ProviderRene' JohnsonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 Baker Road, Suite 115, Virginia Beach, VA 23462(757) 842-9144PECOS EnrollmentBased on the most recent information from CMS, provider Rene' Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1831415512Provider TypeIndividualFull NameJohnson, Rene'CredentialCMT, LMT, MMPGenderFemaleSole ProprietorNoEnumeration Date4/20/2010Last Updated2/21/2019Contact InformationPractice LocationPractice Address700 Baker Road, Suite 115, Virginia Beach, VA 23462Phone(757) 842-9144Fax(757) 873-1846Mailing LocationMailing Address110 Coliseum Crossing, Suite 216, Hampton, VA 23666Phone(757) 842-9144FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense0019007580VirginiaCode174400000XDescriptionSpecialistOther Service ProvidersLicense0019007580Virginia