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Manda Lynn Johnson, LMT
Massage Therapist in Menomonee Falls, Wisconsin
NPI 1063072676

Manda Lynn Johnson is a Massage Therapist based in Colgate, WI. Manda Lynn Johnson practices in Menomonee Falls, WI and has the professional credentials of LMT. The NPI Number for Manda Lynn Johnson is 1063072676 and holds a License No. 11999-146 (Wisconsin).

The current practice location address for Manda Lynn Johnson is N82W15485 Appleton Ave, Menomonee Falls, WI and can be reached out via phone at 262-251-2929.

Location: N82W15485 Appleton Ave, Menomonee Falls, WI, 53017-9511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063072676
Provider Name
Manda Lynn Johnson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
N82W15485 Appleton Ave, Menomonee Falls, WI, 53017-9511
Phone Number
262-251-2929
Fax Number
Provider Enumeration Date
06/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11999-146 01 WI MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
N82W15485 Appleton Ave
City
Menomonee Falls
State
Wisconsin
Zip
53051-3711
Phone Number
262-251-2929
Fax Number
person
Provider Business Mailing Address Details
Address
N82W15485 Appleton Ave
City
Menomonee Falls
State
Wisconsin
Zip
53051-3711
Phone Number
262-251-2929
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11999-146 (Wisconsin)
Definition
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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