Individual
JANE HORTON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4796 CANTON RD, SUITE 400, MARIETTA, GA 30066-3250
(770) 419-4932
(770) 924-7480
Mailing address
4796 CANTON RD, SUITE 400, MARIETTA, GA 30066-3250
(770) 419-4932
(770) 924-7480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT 000001
GA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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