Individual
KILA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1295 KNOLL CT NW, CONYERS, GA 30012-4495
(678) 349-6739
Mailing address
1295 KNOLL CT NW, CONYERS, GA 30012-4495
(678) 349-6739
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013390
GA
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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