Individual
MICHAEL LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
1400 BATTLEGROUND AVE, SUITE 208C, GREENSBORO, NC 27408-8042
(336) 709-0058
Mailing address
1400 BATTLEGROUND AVE, SUITE 208C, GREENSBORO, NC 27408-8042
(336) 709-0058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7845
NC
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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