Wyatt R. Johnson LMT
Massage Therapist in Milwaukee, WI(View on Map)
Full Name
Wyatt Richard Johnson LMT
NPI Number
1194410100
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/06/2023
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
15697-146
Contact
Information
Purpose
Mailing
Location
Address
2861 N DOWNER AVE
5261 N PORT WASHINGTON RD STE 101
City
Milwaukee
Milwaukee
State
WI
WI
Postal Code
53211-3756
53217-4903
Country
US
US
Telephone Number
(319) 333-4875
(414) 332-6001
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/06/2023
Provider Address
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