Tyson Reed Johnston

NPI #1093041741 in Bryan, Texas

Provider Information

NPI Number: 1093041741
Entity Type: Individual
Name: Tyson Reed Johnston
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 29, 2009
Last Updated: Nov 9, 2009

Practice Location

Address: 3001 WILDFLOWER DR
Address 2: 611
City: Bryan
State: Texas
ZIP Code: 77802-3061
Phone: (979) 774-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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