Individual
PAUL CHARLTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2939 KENNY RD, SUITE 195, COLUMBUS, OH 43221-2406
(614) 214-0323
Mailing address
2939 KENNY RD, SUITE 195, COLUMBUS, OH 43221-2406
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33013924
OH
Other
Enumeration date
11/14/2015
Last updated
11/14/2015
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