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Mariah Kelley Johnson
Massage Therapist in Eagan, Minnesota
NPI 1871378273

Mariah Kelley Johnson is a Massage Therapist based in Eagan, MN. Mariah Kelley Johnson practices in Eagan, MN. The NPI Number for Mariah Kelley Johnson is 1871378273 and holds a License No. 093532 (Minnesota).

The current practice location address for Mariah Kelley Johnson is 4590 Scott Trail, Eagan, MN and can be reached out via phone at 651-454-1000.

Location: 4590 Scott Trail, Eagan, MN, 55122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871378273
Provider Name
Mariah Kelley Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4590 Scott Trail, Eagan, MN, 55122
Phone Number
651-454-1000
Fax Number
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4590 Scott Trail
City
Eagan
State
Minnesota
Zip
55122
Phone Number
651-454-1000
Fax Number
person
Provider Business Mailing Address Details
Address
4590 Scott Trail
City
Eagan
State
Minnesota
Zip
55122
Phone Number
651-454-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
093532 (Iowa)
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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