Individual
JONI RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
246 WELLINGTON DR, GWINN, MI 49841-9177
(906) 346-9000
Mailing address
175 N COUNTY ROAD 557, GWINN, MI 49841-9453
(906) 290-0465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002165
MI
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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