Individual
BENJAMIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
208 13TH AVE NE, MINNEAPOLIS, MN 55413-4598
(651) 769-5775
Mailing address
1383 LAFOND AVE, SAINT PAUL, MN 55104-2437
(651) 769-5775
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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