person
Autumn Johnson
Massage Therapist in Baltimore, Maryland
NPI 1639422652

Autumn Johnson is a Massage Therapist based in Baltimore, MD. Autumn Johnson practices in Baltimore, MD. The NPI Number for Autumn Johnson is 1639422652 and holds a License No. M04778 (Maryland).

The current practice location address for Autumn Johnson is 6903 Bonnie Ridge Dr, Baltimore, MD and can be reached out via phone at 443-570-5726.

Location: 6903 Bonnie Ridge Dr, Baltimore, MD, 21209-5164
person
Provider Profile Details
NPI Number
1639422652
Provider Name
Autumn Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6903 Bonnie Ridge Dr, Baltimore, MD, 21209-5164
Phone Number
443-570-5726
Fax Number
Provider Enumeration Date
10/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6903 Bonnie Ridge Dr
City
State
Zip
21209-5164
Phone Number
443-570-5726
Fax Number
person
Provider Business Mailing Address Details
Address
6903 Bonnie Ridge Dr
City
State
Zip
21209-5164
Phone Number
443-570-5726
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
M04778 (Maryland)
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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