Individual
MR. MITCH A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1817 N 169TH PLZ STE B, OMAHA, NE 68118-2822
(402) 932-8108
(402) 932-8109
Mailing address
1817 N 169TH PLZ STE B, OMAHA, NE 68118-2822
(402) 932-8108
(402) 932-8109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1777
NE
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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