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Tamara C Johnson, MST
Massage Therapist in Green Bay, Wisconsin
NPI 1851930119

Tamara C Johnson is a Massage Therapist based in Green Bay, WI. Tamara C Johnson practices in Green Bay, WI and has the professional credentials of MST. The NPI Number for Tamara C Johnson is 1851930119 and holds a License No. 3846-146 (Wisconsin).

The current practice location address for Tamara C Johnson is 2641 Development Dr, Green Bay, WI and can be reached out via phone at 920-964-3876.

Location: 2641 Development Dr, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851930119
Provider Name
Tamara C Johnson
Credential
MST
Provider Entity Type
Individual
Gender
Female
Address
2641 Development Dr, Green Bay, WI, 54305-2487
Phone Number
920-964-3876
Fax Number
Provider Enumeration Date
01/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2641 Development Dr
City
Green Bay
State
Wisconsin
Zip
54311-4240
Phone Number
920-964-3876
Fax Number
person
Provider Business Mailing Address Details
Address
2641 Development Dr
City
Green Bay
State
Wisconsin
Zip
54311-4240
Phone Number
920-964-3876
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
3846-146 (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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