MR. David C Johnson, LMT, NCTMB

NPI #1629304712 in Troy, Illinois

Provider Information

NPI Number: 1629304712
Entity Type: Individual
Name: MR. David C Johnson, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT, NCTMB
Enumeration Date: Oct 23, 2009
Last Updated: Oct 23, 2009

Practice Location

Address: 102 N MAIN ST
City: Troy
State: Illinois
ZIP Code: 62294-1129
Phone: (618) 667-9766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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