Individual
LAURA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
800 CARTER STREET, ROCHESTER, NY 14621
(585) 338-1400
(585) 338-4917
Mailing address
800 CARTER STREET, ROCHESTER, NY 14621
(585) 338-1400
(585) 338-4917
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
Enumeration date
01/16/2007
Last updated
07/09/2007
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