Individual
ANTHONY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25350 US HIGHWAY 19 N APT 212, CLEARWATER, FL 33763-2125
(813) 508-6560
Mailing address
25350 US HIGHWAY 19 N APT 212, CLEARWATER, FL 33763-2125
(813) 508-6560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA94842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA94842
LICENSE NUMBER
FL
Enumeration date
08/29/2020
Last updated
08/29/2020
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