Candi Johnson, LMT

NPI #1487984266 in Newberg, Oregon

Provider Information

NPI Number: 1487984266
Entity Type: Individual
Name: Candi Johnson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 30, 2009
Last Updated: Dec 30, 2009

Practice Location

Address: 200 E HANCOCK ST
City: Newberg
State: Oregon
ZIP Code: 97132-2824
Phone: (503) 538-1114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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