MR. Xavier Johnson, NCTMB, CMT, CMMT
NPI #1801810643 in Forest Park, Georgia
Provider Information
- NPI Number
- 1801810643
- Entity Type
- Individual
- Name
- MR. Xavier Johnson, NCTMB, CMT, CMMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- NCTMB, CMT, CMMT
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 362 LEE ST
- City
- Forest Park
- State
- Georgia
- ZIP Code
- 30297-2442
- Phone
- (877) 287-9664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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