Individual
JOHNIE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 S SCOTT BLVD STE 1, IOWA CITY, IA 52240-2909
(319) 354-2429
(319) 354-6100
Mailing address
1130 S SCOTT BLVD STE 1, IOWA CITY, IA 52240-2909
(319) 354-2429
(319) 354-6100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
095071
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-65463
—
IA
Enumeration date
11/02/2021
Last updated
11/02/2021
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