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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAVONNE IRENE JOHNSON, MT

Active Sole Proprietor

SHAVONNE IRENE JOHNSON, MT is a Massage Therapist healthcare provider located in PRINCETON, Minnesota. NPI 1720664311 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PRINCETON, MN

Registration Details

NPI Number
1720664311
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2021 (5.3506822331022 yrs)
Last Updated
Mar 23, 2021
Sole Proprietor
Yes

Practice Information

Address
309 15TH AVE S
PRINCETON, MN, 553711871
Browse MN providers · Browse ZIP 55371
Phone
6126554266
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in PRINCETON, MN

Name Credential NPI
MRS. PAMELA JEAN PARSON C.M.P. 1689750275
KRISTI L FLANIGAN 1609096288
MRS. MARIA JEANNE WERNER C.M.T. 1720288277
MS. DESTINY DAWN JACOBSON ROBIN FISCHER 1104015221
KIM BOEDIGHEIMER C.M.T. 1649694274
KAYLEE DIRCKS 1316504467
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.