MR. Steven Alan Johnson, CMT

NPI #1588916308 in Blaine, Minnesota

Provider Information

NPI Number: 1588916308
Entity Type: Individual
Name: MR. Steven Alan Johnson, CMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMT
Enumeration Date: Oct 3, 2012
Last Updated: Oct 3, 2012

Practice Location

Address: 1061 109TH AVE NE
Address 2: SUITE D
City: Blaine
State: Minnesota
ZIP Code: 55434-3846
Phone: (763) 208-4562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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