Larrena Sue Johnson, LMP

NPI #1497147599 in Brewster, Washington

Provider Information

NPI Number: 1497147599
Entity Type: Individual
Name: Larrena Sue Johnson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Feb 26, 2015
Last Updated: Feb 26, 2015

Practice Location

Address: 815 SOUTH BRIDGE STREET
City: Brewster
State: Washington
ZIP Code: 98812-2085
Phone: (509) 689-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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