Individual
MICHAEL L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 SKINNER CT, TOMKINS COVE, NY 10986-1105
(845) 490-9116
Mailing address
5 SKINNER CT, TOMKINS COVE, NY 10986-1105
(845) 490-9116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NY
Other
Enumeration date
08/17/2020
Last updated
07/21/2022
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