Individual
TIMOTHY HOLMES JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
523 HLAVINKA ST, EAST BERNARD, TX 77435-9433
(979) 254-5466
Mailing address
523 HLAVINKA ST, EAST BERNARD, TX 77435-9433
(979) 254-5466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT103797
TX
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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