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Individual

KINSEY ELLEN JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1401 N ADAMS ST, ARLINGTON, VA 22201
(703) 465-1213
Mailing address
2707 KEYSTONE LANE APT 202, VIENNA, VA 22180
(720) 985-3285

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019015320
VA

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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