NPI 1104117571

Derek Johnson, LAC

Practitioner Acupuncturist Cincinnati, OH

Practice location

Address: 7433 Montgomery Rd, Cincinnati, OH 45236-4160
Phone: (513) 439-4761
Mailing address: 802 W Main St, Loveland, OH 45140-2508

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 65.000200 (OH)

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Registry record

NPI: 1104117571
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2011
Record last updated: 20 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.