Johnson, Shannon

Johnson, Shannon is an sole proprietor health care provider with primary practice located at 5810 Excelsior Blvd , St Louis Park MN 55416-2830. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Johnson, Shannon can be contacted via phone (952) 927-8686.

Contact Information

Primary practice address
5810 Excelsior Blvd St Louis Park MN 55416-2830
Phone: (952) 927-8686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 00020768 Minnesota

Profile Details

NPI number 1194006254
LBN Legal business name Johnson, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2011
Last updated Sep 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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