NPI 1265016182

Leticia Johnson

Practitioner Massage Therapist Riverton, UT

Practice location

Address: 4487 W Mandy Lee Cv, Riverton, UT 84096-7775
Phone: (727) 686-2464

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 863869-4701 (UT)

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Registry record

NPI: 1265016182
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2021
Record last updated: 6 May 2021

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.