Individual
SHAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2956 GINNALA DR STE 205, LOVELAND, CO 80538-7825
(970) 614-4218
Mailing address
1312 86TH AVE, GREELEY, CO 80634-3074
(970) 443-5645
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0010873
CO
Other
Enumeration date
06/27/2016
Last updated
02/04/2020
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