Organization
AUSTIN LYMPHATIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JOHNSON LMT (MASSAGE THERAPIST)
(512) 751-8146
Entity
Organization
Contact information
Practice address
5750 BALCONES DR STE 107, AUSTIN, TX 78731-4268
(512) 751-8146
Mailing address
5750 BALCONES DR STE 107, AUSTIN, TX 78731-4268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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