Shannon Johnson
NPI #1194006254 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1194006254
- Entity Type
- Individual
- Name
- Shannon Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Sep 2, 2011
- Last Updated
- Sep 2, 2011
Practice Location
- Address
- 5810 EXCELSIOR BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-2830
- Phone
- (952) 927-8686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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