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Lacy Mae Johnson, MASSAGETHERAPIST
Massage Therapist in South Ogden, Utah
NPI 1902574999

Lacy Mae Johnson is a Massage Therapist based in South Ogden, UT. Lacy Mae Johnson practices in South Ogden, UT and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Lacy Mae Johnson is 1902574999 and holds a License No. 9199023-4701 (Utah).

The current practice location address for Lacy Mae Johnson is 1190 E 5425 S Ste 210, South Ogden, UT and can be reached out via phone at 385-400-9193.

Location: 1190 E 5425 S Ste 210, South Ogden, UT, 84403-5194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902574999
Provider Name
Lacy Mae Johnson
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
1190 E 5425 S Ste 210, South Ogden, UT, 84403-5194
Phone Number
385-400-9193
Fax Number
Provider Enumeration Date
09/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1190 E 5425 S Ste 210
City
South Ogden
State
Utah
Zip
84403-5194
Phone Number
385-400-9193
Fax Number
person
Provider Business Mailing Address Details
Address
1190 E 5425 S Ste 210
City
South Ogden
State
Utah
Zip
84403-5194
Phone Number
385-400-9193
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
9199023-4701 (Utah)
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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