Individual
MATTHEW ROBERT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, CPT
Contact information
Practice address
7053 LINDLEY AVE, RESEDA, CA 91335-4613
(818) 850-8023
Mailing address
7053 LINDLEY AVE, RESEDA, CA 91335-4613
(818) 850-8023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72505
CA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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