Individual
DEMOND JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 W EISENHOWER CIR STE 108, ANN ARBOR, MI 48103-6400
(734) 222-5080
Mailing address
905 W EISENHOWER CIR STE 108, ANN ARBOR, MI 48103-6400
(734) 222-5080
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
226000000X
Recreational Therapist Assistant
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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