Individual
EMILY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6385 STATE ROUTE 96 STE 210, VICTOR, NY 14564-1404
(585) 519-2518
Mailing address
3399 HOPKINS RD APT 2, CANANDAIGUA, NY 14424-9378
(585) 519-2518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032303
NY
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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