Performance Myotherapy NW LLC
NPI #1114770872 in Seattle, Washington
Provider Information
- NPI Number
- 1114770872
- Entity Type
- Organization
- Organization Name
- Performance Myotherapy NW LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Apr 10, 2024
- Last Updated
- Apr 10, 2024
Practice Location
- Address
- 11545 15TH AVE NE STE 305
- City
- Seattle
- State
- Washington
- ZIP Code
- 98125-6358
- Phone
- (425) 343-8267
Authorized Official
- Name
- BRIAN ROBERT JOHNSON, LMT
- Title
- MASSAGE THERAPIST
- Phone
- (425) 343-8267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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