Individual
PATRICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 TYVOLA RD STE 203, CHARLOTTE, NC 28217-3649
(980) 292-1090
Mailing address
820 TYVOLA RD STE 203, CHARLOTTE, NC 28217-3649
(980) 292-1090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22625
NC
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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