Individual
KAYLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
373 DAVISON RD FRNT, LOCKPORT, NY 14094-4020
(585) 297-5743
Mailing address
5 MEADOWBROOK DR, ALBION, NY 14411-1622
(585) 297-5743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NY
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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