Mickiah Johnson, LMT
NPI #1508621244 in Eagle River, Alaska
Provider Information
- NPI Number
- 1508621244
- Entity Type
- Individual
- Name
- Mickiah Johnson, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Feb 20, 2024
- Last Updated
- Jul 15, 2024
Practice Location
- Address
- 12641 OLD GLENN HWY STE 202
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-7040
- Phone
- (907) 214-1303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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