SearchMinnesota374J00000X

Matisse Johnson

NPI 1891590642 · on the registry since 2025 · sole proprietor

Practice

Address
6813 5th St N
Minneapolis, MN 55430
Phone
(612) 598-2550
Fax
(612) 598-2550

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota