Individual
HILLARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, ATC
Contact information
Practice address
484 GLEN ST STE B, GLENS FALLS, NY 12801-3194
(518) 350-4827
Mailing address
1232 W MOUNTAIN RD, QUEENSBURY, NY 12804-8214
(518) 350-4827
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031237
NY
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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