Individual
MONICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
160 MEADE ST, ASHLAND, OR 97520-2821
(541) 840-2900
Mailing address
160 MEADE ST, ASHLAND, OR 97520-2821
(541) 840-2900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17175
OR
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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