Misty Dawn Johnson, LMP

NPI #1225288848 in Longview, Washington

Provider Information

NPI Number: 1225288848
Entity Type: Individual
Name: Misty Dawn Johnson, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 19, 2008
Last Updated: Sep 19, 2008

Practice Location

Address: 1560 3RD AVE
City: Longview
State: Washington
ZIP Code: 98632-3229
Phone: (360) 423-9535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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