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Shannon Johnson
Massage Therapist in St Louis Park, Minnesota
NPI 1194006254

Shannon Johnson is a Massage Therapist based in St Louis Park, MN. Shannon Johnson practices in St Louis Park, MN. The NPI Number for Shannon Johnson is 1194006254 and holds a License No. 00020768 (Minnesota).

The current practice location address for Shannon Johnson is 5810 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-927-8686.

Location: 5810 Excelsior Blvd, St Louis Park, MN, 55416-2830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194006254
Provider Name
Shannon Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5810 Excelsior Blvd, St Louis Park, MN, 55416-2830
Phone Number
952-927-8686
Fax Number
Provider Enumeration Date
09/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5810 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416-2830
Phone Number
952-927-8686
Fax Number
person
Provider Business Mailing Address Details
Address
5810 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416-2830
Phone Number
952-927-8686
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
00020768 (Minnesota)
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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