MS. Brenda K Johnson, LMT

NPI #1174714539 in Alden, New York

Provider Information

NPI Number: 1174714539
Entity Type: Individual
Name: MS. Brenda K Johnson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 9, 2007
Last Updated: Aug 9, 2007

Practice Location

Address: 13305 BROADWAY ST
City: Alden
State: New York
ZIP Code: 14004-1324
Phone: (716) 937-4577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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