Theresa Beth Johnson, L.AC.

NPI #1083438287 in Roscoe, Illinois

Provider Information

NPI Number: 1083438287
Entity Type: Individual
Name: Theresa Beth Johnson, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Nov 13, 2024
Last Updated: Nov 13, 2024

Practice Location

Address: 9241 STARBOARD DR STE C
City: Roscoe
State: Illinois
ZIP Code: 61073-6348
Phone: (815) 227-9429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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