Xavier Johnson NCTMB, CMT, CMMT

NPI 1801810643 - Massage Therapist - 225700000X

NPI Details
NPI 1801810643
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
362 LEE ST
FOREST PARK GA, 30297-2442, US
Phone (877) 287-9664
Fax (877) 287-9664
Business Location
PO BOX 827
ELLENWOOD GA, 30294-0827, US
Phone (877) 287-9664
Fax (877) 287-9664
Toxanomy
Taxonomy Code 225700000X
License State
License Number
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According to our database, Mr. Xavier Johnson NCTMB, CMT, CMMT NPI is 1801810643, taxonomy code is 225700000X Xavier Johnson NCTMB, CMT, CMMT physically located at 362 Lee St, Forest Park GA, 30297-2442. NPI Number Xavier Johnson NCTMB, CMT, CMMT has the Individual type.

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1801810643 NPI number is provided on an as is basis without warranty of any kind. 1801810643 is maintained by the National Plan & Provider Enumeration System. The contents of Xavier Johnson NCTMB, CMT, CMMT are for informational purposes only.