Individual
NICOLE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
4541 7TH ST. NE, COLUMBIA HEIGHTS, MN 55421-2238
(612) 281-8849
Mailing address
4545 7TH ST NE, COLUMBIA HEIGHTS, COLUMBIA HEIGHTS, MN 55421-2238
(612) 281-8849
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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