Krishna Raven-Johnson, LMP

NPI #1518204015 in Monroe, Washington

Provider Information

NPI Number: 1518204015
Entity Type: Individual
Name: Krishna Raven-Johnson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jan 3, 2013
Last Updated: Jan 3, 2013

Practice Location

Address: 115 3/4 W MAIN ST STE 213
City: Monroe
State: Washington
ZIP Code: 98272-1825
Phone: (425) 892-4034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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