Kimberly Lynn Johnson, L.M.T.

NPI #1134324916 in Ft Walton Bch, Florida

Provider Information

NPI Number: 1134324916
Entity Type: Individual
Name: Kimberly Lynn Johnson, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: L.M.T.
Enumeration Date: Jun 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 119 TRUXTON AVE
City: Ft Walton Bch
State: Florida
ZIP Code: 32547-2460
Phone: (850) 974-6518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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