Jessica Johnson

NPI #1720693153 in Selah, Washington

Provider Information

NPI Number: 1720693153
Entity Type: Individual
Name: Jessica Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 11, 2020
Last Updated: Sep 11, 2020

Practice Location

Address: 107 W NACHES AVE
City: Selah
State: Washington
ZIP Code: 98942-1323
Phone: (509) 698-2644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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