MR. Daryl Olaf Johnson, LMT

NPI #1447943998 in Hayden, Idaho

Provider Information

NPI Number: 1447943998
Entity Type: Individual
Name: MR. Daryl Olaf Johnson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 31, 2023
Last Updated: May 31, 2023

Practice Location

Address: 827 W PRAIRIE AVE
City: Hayden
State: Idaho
ZIP Code: 83835-8459
Phone: (208) 660-9378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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