Individual provider · Type 1 NPI

Cynthia Diane Johnson, LICENSED MASSAGE TH

Massage Therapist · Ada, OK

NPI number 1326640434 Active

Practice location

119 N Broadway Ave Ste 10
Ada, OK 74820-5052

Call (580) 399-3699 Map

Mailing address

14184 County Road 1573
Ada, OK 74820-1552

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X184331 (OK)

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 1326640434

Cynthia Diane Johnson, LICENSED MASSAGE TH's National Provider Identifier is 1326640434, issued on Nov 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ada, OK. The record was last updated on Nov 12, 2020.