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Mr. Calvin D Johnson JR., LCMT
Massage Therapist in Blythewood, South Carolina
NPI 1679015283

Calvin D Johnson JR. is a Massage Therapist based in Blythewood, SC. Calvin D Johnson JR. practices in Blythewood, SC and has the professional credentials of LCMT. The NPI Number for Calvin D Johnson JR. is 1679015283 and holds a License No. 9912 (South Carolina).

The current practice location address for Calvin D Johnson JR. is 738 University Village Dr, Blythewood, SC and can be reached out via phone at 803-754-8432 and via fax at 803-754-8411.

Location: 738 University Village Dr, Blythewood, SC, 29016-7611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679015283
Provider Name
Calvin D Johnson JR.
Credential
LCMT
Provider Entity Type
Individual
Gender
Male
Address
738 University Village Dr, Blythewood, SC, 29016-7611
Phone Number
803-754-8432
Fax Number
803-754-8411
Provider Enumeration Date
11/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
738 University Village Dr
City
Blythewood
State
South Carolina
Zip
29016-7611
Phone Number
803-754-8432
Fax Number
803-754-8411
person
Provider Business Mailing Address Details
Address
738 University Village Dr
City
Blythewood
State
South Carolina
Zip
29016-7611
Phone Number
803-754-8432
Fax Number
803-754-8411
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
9912 (South Carolina)
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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