Individual
LUKE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1421 LUISA ST STE R, SANTA FE, NM 87505-4073
(505) 470-6119
Mailing address
1421 LUISA ST STE R, SANTA FE, NM 87505-4073
(505) 400-9986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7303
NM
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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