Individual
MELISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
105 CENTRAL AVE S, MILACA, MN 56353-1122
(320) 983-6805
Mailing address
105 CENTRAL AVE S, MILACA, MN 56353-1122
(320) 983-6805
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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