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Contact Information

RYAN S JOHNSON, LMT
10 NORTH VIRGINIA STREET
CRYSTAL LAKE, IL60014
 Phone: 815-459-3860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for RYAN S JOHNSON · (Male)

NPI # 1588073431
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 08/05/2014
Last updated 08/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 227004563
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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