Individual
RAVEN SIMONE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3307 MCKINLEY ST APT 210, PERRY, IA 50220-2457
(319) 493-9100
Mailing address
3307 MCKINLEY ST APT 210, PERRY, IA 50220-2457
(319) 493-9100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
095576
IA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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