Individual
AMBER MAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 S CHERRY ST, DENVER, CO 80246-1304
(303) 399-3050
Mailing address
2922 TEMPLE HILL RD, LADY LAKE, FL 32159-5230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48051
FL
225700000X
Massage Therapist
MA48051
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
MASSAGE ESTABLISHMENTS
—
Enumeration date
06/27/2018
Last updated
06/27/2018
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