Mary Johnson, LMT
Massage Therapist in Maple Grove, MN. Individual provider (NPI-1).
NPI number1235680992
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1235680992
- Entity type
- Individual (NPI-1)
- Name
- Mary Johnson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2016
- Last updated
- Oct 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
16334 County Road 30Maple Grove, MN 55311-1207
Phone 763-416-1799
Mailing address
16334 County Road 30Maple Grove, MN 55311-1207
Phone 763-416-1799
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All 31 Massage Therapist providers in Maple Grove · All 2,061 providers in Maple Grove
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