Teresa Johnson, LMT

NPI #1629579644 in Davenport, Iowa

Provider Information

NPI Number: 1629579644
Entity Type: Individual
Name: Teresa Johnson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 25, 2018
Last Updated: Feb 25, 2018

Practice Location

Address: 10502 118TH ST
City: Davenport
State: Iowa
ZIP Code: 52804-9568
Phone: (563) 650-4934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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