Individual
KERI LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
802 MAIN ST, DEADWOOD, SD 57732-1004
(605) 722-1396
Mailing address
802 MAIN ST, DEADWOOD, SD 57732-1004
(605) 722-1396
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT10410
SD
Other
Enumeration date
04/20/2021
Last updated
02/21/2022
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