Jessy Wayne Johnston, LMT

NPI #1336607209 in Tumwater, Washington

Provider Information

NPI Number: 1336607209
Entity Type: Individual
Name: Jessy Wayne Johnston, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 8, 2019
Last Updated: Mar 8, 2019

Practice Location

Address: 2330 MOTTMAN RD SW # 106
City: Tumwater
State: Washington
ZIP Code: 98512-6232
Phone: (360) 480-1936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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