Individual
MS. JAIME LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
42 BRIDGE ST, EAST WINDSOR, CT 06088-9679
(860) 805-9005
Mailing address
69 HARRINGTON RD, BROAD BROOK, CT 06016-9613
(860) 805-9005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005974
CT
Other
Enumeration date
01/11/2017
Last updated
01/23/2017
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