MR. Randel Johnson

NPI #1841680584 in Cary, Illinois

Provider Information

NPI Number: 1841680584
Entity Type: Individual
Name: MR. Randel Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 3, 2015
Last Updated: Feb 3, 2015

Practice Location

Address: 2615 THREE OAKS RD
Address 2: SUITE 2B
City: Cary
State: Illinois
ZIP Code: 60013-6127
Phone: (815) 260-4559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Reflexologist	173C00000X
Massage Therapist	225700000X	Primary

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