Shylo Johnson, LMT

NPI #1225689219 in Lake Oswego, Oregon

Provider Information

NPI Number: 1225689219
Entity Type: Individual
Name: Shylo Johnson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 22, 2019
Last Updated: Sep 22, 2019

Practice Location

Address: 3 MONROE PKWY STE U
City: Lake Oswego
State: Oregon
ZIP Code: 97035-8875
Phone: (503) 387-3205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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