NPI 1629579644

Teresa Johnson, LMT

Practitioner Massage Therapist Davenport, IA

Practice location

Address: 10502 118th St, Davenport, IA 52804-9568
Phone: (563) 650-4934

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 088923 (IA)

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Registry record

NPI: 1629579644
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2018
Record last updated: 25 Feb 2018

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.