Individual
JERRICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
119 MADISON ST, ALEXANDER CITY, AL 35010-2525
(256) 252-7644
Mailing address
1963 HIGHWAY 22 W APT 224, ALEXANDER CITY, AL 35010-4473
(256) 750-1828
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6229
AL
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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