Individual
MS. KIMBERLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, OMT
Contact information
Practice address
4 FUNDY RD STE 103, FALMOUTH, ME 04105-1764
(207) 233-2096
(207) 808-8000
Mailing address
PO BOX 243, WESTBROOK, ME 04098-0243
(207) 233-2096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4594
ME
Other
Enumeration date
01/29/2017
Last updated
05/19/2022
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