Individual
JENNIFER J JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
181 PEACHTREE ST, ATLANTA, GA 30303-1705
(404) 659-0400
Mailing address
1040 HUFF RD NW, ATLANTA, GA 30318-4167
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002473
GA
Other
Enumeration date
07/13/2009
Last updated
08/24/2011
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