Individual
GARY L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CMT
Contact information
Practice address
222 COLUMBUS AVE STE 220, SAN FRANCISCO, CA 94133-4597
(141) 542-4598
Mailing address
1645 FOLSOM ST APT 9, SAN FRANCISCO, CA 94103-3737
(141) 542-4598
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
41294
CA
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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