Manda Lynn Johnson, LMT
NPI #1063072676 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1063072676
- Entity Type
- Individual
- Name
- Manda Lynn Johnson, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jun 17, 2019
- Last Updated
- Jun 17, 2019
Practice Location
- Address
- N82W15485 APPLETON AVE
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-3711
- Phone
- (262) 251-2929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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