Individual
MRS. AIMEE DESIREE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
705 S BARSTOW ST, EAU CLAIRE, WI 54701-4978
(715) 529-3489
Mailing address
705 S BARSTOW ST, EAU CLAIRE, WI 54701-4978
(715) 529-3489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10374-146
WI
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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