Patrice Johnson, LMT
Massage Therapist in Emeryville, CA. Individual provider (NPI-1).
NPI number1962058784
StatusActive
Last updated in NPPESAug 16, 2019
Details
- NPI
- 1962058784
- Entity type
- Individual (NPI-1)
- Name
- Patrice Johnson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2019
- Last updated
- Aug 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 76948 | CA | Yes |
Practice location
6460 Hollis St Ste CEmeryville, CA 94608-1473
Phone 415-968-1705
Mailing address
4019 Mount Day CtAntioch, CA 94531-8279
Phone 415-609-9635
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All 9 Massage Therapist providers in Emeryville · All 827 providers in Emeryville
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