Individual
SHELANA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2637 27TH AVE S # 245, MINNEAPOLIS, MN 55406-1565
(612) 558-5488
Mailing address
2637 27TH AVE S # 245, MINNEAPOLIS, MN 55406-1565
(612) 558-5488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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