Individual
KELLI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
2935 FREMONT AVE S, #401, MINNEAPOLIS, MN 55408-2085
(612) 382-6343
Mailing address
2935 FREMONT AVE S, #401, MINNEAPOLIS, MN 55408-2085
(612) 382-6343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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