Individual provider · Type 1 NPI

Mary Johnson, LMT

Massage Therapist · Maple Grove, MN

NPI number 1235680992 Active

Practice location

16334 County Road 30
Maple Grove, MN 55311-1207

Call (763) 416-1799 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1235680992

Mary Johnson, LMT's National Provider Identifier is 1235680992, issued on Oct 18, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 18, 2016.