Individual
MS. MEREDITH LEARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT
Contact information
Practice address
1539 GRAND AVE, SAINT PAUL, MN 55105-2229
(651) 470-3687
Mailing address
1539 GRAND AVE, SAINT PAUL, MN 55105-2229
(651) 470-3687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20030003274
MN
Other
Enumeration date
01/12/2007
Last updated
03/15/2010
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