Individual
TERRI SHANICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 CRESTVIEW DR, SYLVESTER, GA 31791-7165
(229) 255-4852
Mailing address
112 CRESTVIEW DR, SYLVESTER, GA 31791-7165
(229) 255-4852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT015264
GA
Other
Enumeration date
02/08/2025
Last updated
02/14/2025
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