Individual
LAKEYA JOYCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
8 S MICHIGAN AVE STE 2020, CHICAGO, IL 60603-3316
(773) 732-0616
Mailing address
3745 216TH PL, MATTESON, IL 60443-2722
(312) 288-5422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.021385
IL
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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