Individual
RENE' JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT, LMT, MMP
Contact information
Practice address
700 BAKER ROAD, SUITE 115, VIRGINIA BEACH, VA 23462
(757) 842-9144
(757) 873-1846
Mailing address
110 COLISEUM CROSSING, SUITE 216, HAMPTON, VA 23666
(757) 842-9144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0019007580
VA
225700000X
Massage Therapist
Primary
0019007580
VA
Other
Enumeration date
04/20/2010
Last updated
02/21/2019
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