| Mr Randel Johnson, | |
|
2615 Three Oaks Rd, Suite 2b, Cary, IL 60013-6127 | |
| (815) 260-4559 | |
| (847) 639-4192 |
| Full Name | Mr Randel Johnson |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2615 Three Oaks Rd, Cary, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841680584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.001783 (Illinois) | Primary |
| 173C00000X | Reflexologist | 227.001783 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randel Johnson, 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013-6127 Ph: (815) 260-4559 | Mr Randel Johnson, 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013-6127 Ph: (815) 260-4559 |
Laura Jensen, L.M.T Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 Cary Algonquin Rd Ste C, Cary, IL 60013 Phone: 847-639-0010 |
Tiffany Munsterman, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 652 Northwest Hwy, Cary, IL 60013 Phone: 847-639-4468 Fax: 847-639-4473 |