Individual
MANDA LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
N82W15485 APPLETON AVE, MENOMONEE FALLS, WI 53051-3711
(262) 251-2929
Mailing address
W215N10083 HICKORY DR, COLGATE, WI 53017-9511
(262) 613-9872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11999-146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11999-146
MASSAGE THERAPIST
WI
Enumeration date
06/17/2019
Last updated
06/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us