Leta Johnson, LMT

NPI #1205085883 in Gallatin, Tennessee

Provider Information

NPI Number: 1205085883
Entity Type: Individual
Name: Leta Johnson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 18, 2008
Last Updated: Sep 18, 2008

Practice Location

Address: 339 HANCOCK ST STE 1
City: Gallatin
State: Tennessee
ZIP Code: 37066-6337
Phone: (615) 337-6638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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