Iesha J Johnson

NPI #1215706262 in Park Forest, Illinois

Provider Information

NPI Number: 1215706262
Entity Type: Individual
Name: Iesha J Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jan 1, 2024
Last Updated: Jan 1, 2024

Practice Location

Address: 180 MIAMI ST
City: Park Forest
State: Illinois
ZIP Code: 60466-2329
Phone: (773) 562-0066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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