Individual
KAYLA JANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1309 STOUT RD, MENOMONIE, WI 54751-2951
(715) 233-6230
(715) 233-6231
Mailing address
1309 STOUT RD, MENOMONIE, WI 54751-2951
(715) 233-6230
(715) 233-6231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10974
WI
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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