NPI 1326640434

Cynthia Diane Johnson, LICENSEDMASSAGETH

Practitioner Massage Therapist Ada, OK

Practice location

Address: 119 N Broadway Ave STE 10, Ada, OK 74820-5052
Phone: (580) 399-3699
Mailing address: 14184 County Road 1573, Ada, OK 74820-1552

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 184331 (OK)

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Registry record

NPI: 1326640434
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2020
Record last updated: 12 Nov 2020

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.