Individual
TAKARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21999 FARMINGTON RD, FARMINGTON, MI 48336-4400
(248) 826-9258
Mailing address
21999 FARMINGTON RD, FARMINGTON, MI 48336-4400
(248) 826-9258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015577
MI
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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