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DR. ALISA JOY JOHNSON L.M.T., PH.D.
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1821251273
Individual Registrant:DR. ALISA JOY JOHNSON L.M.T., PH.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1801 FOREST HILLS BLVD STE 202 BELLA VISTA, AR 72715-3016 US
Tel: 479-899-1794 Fax: --
Tel: 479-899-1794 Fax: --
Contact information for business:
7132 SW 4TH RD UNIT 216 GAINESVILLE, FL 32607-6806 US
Tel: 479-899-1794 Fax: --
Tel: 479-899-1794 Fax: --
Registration Information:
NPI: 1821251273
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | FL | 92449 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
