Michele M Johnson, LMT, NCTMB

NPI #1578896098 in New Richmond, Wisconsin

Provider Information

NPI Number: 1578896098
Entity Type: Individual
Name: Michele M Johnson, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT, NCTMB
Enumeration Date: Sep 16, 2009
Last Updated: Sep 16, 2009

Practice Location

Address: 1477 S KNOWLES AVE
Address 2: S 103
City: New Richmond
State: Wisconsin
ZIP Code: 54017-2529
Phone: (715) 381-3829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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