Michele Johnson

NPI #1063048007 in Roosevelt, New York

Provider Information

NPI Number: 1063048007
Entity Type: Individual
Name: Michele Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Mar 22, 2020
Last Updated: Mar 22, 2020

Practice Location

Address: 148 ELMWOOD AVE
City: Roosevelt
State: New York
ZIP Code: 11575-1808
Phone: (516) 652-7145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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