Individual
BEN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
300 VIRGIL AVE, MOUNT VERNON, IA 52314-9569
(319) 895-8655
(319) 895-8651
Mailing address
302 MASSILION ST, STANWOOD, IA 52337-9788
(319) 540-3860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006276
IA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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