Individual
MR. DAVID C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
102 N MAIN ST, TROY, IL 62294-1129
(618) 667-9766
(618) 667-9770
Mailing address
102 N MAIN ST, TROY, IL 62294-1129
(618) 667-9766
(618) 667-9770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227010448
IL
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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