Mitch A Johnson, L.M.T.
Massage Therapist in Omaha, NE. Individual provider (NPI-1).
NPI number1861985012
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1861985012
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mitch A Johnson
- Credential
- L.M.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2018
- Last updated
- Jun 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 1777 | NE | Yes |
Practice location
1817 N 169th Plz Ste BOmaha, NE 68118-2822
Phone 402-932-8108 · Fax 402-932-8109
Mailing address
1817 N 169th Plz Ste BOmaha, NE 68118-2822
Phone 402-932-8108 · Fax 402-932-8109
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