Individual
KELLI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
272 REDWOOD SHORES PKWY, REDWOOD CITY, CA 94065-1173
(650) 595-5893
Mailing address
201 FLYNN AVE, #16, MOUNTAIN VIEW, CA 94043-3912
(408) 406-5736
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34218
CA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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