Individual
ANDREA RAE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
306 MIDDLETOWN PARK PL STE C, LOUISVILLE, KY 40243-2517
(502) 742-8613
Mailing address
4203 BROWNSBORO GLEN RD, LOUISVILLE, KY 40241-1198
(714) 357-7347
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC082
KY
Other
Enumeration date
06/06/2013
Last updated
07/15/2021
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