Individual
TATIANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 SURREY DR APT 5, ELGIN, IL 60123-5156
(630) 506-3667
Mailing address
58 SURREY DR APT 5, ELGIN, IL 60123-5156
(630) 506-3667
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
227020304
IL
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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