Individual
KRISTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1333 BUCK JONES RD, RALEIGH, NC 27606-3328
(919) 443-0883
Mailing address
5917 SUNCREEK CT, RALEIGH, NC 27606-2263
(818) 585-0880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11168
NC
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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