Lyle Johnson
NPI #1730548850 in Lake Stevens, Washington
Provider Information
- NPI Number
- 1730548850
- Entity Type
- Individual
- Name
- Lyle Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Feb 17, 2016
- Last Updated
- Feb 17, 2016
Practice Location
- Address
- 8216 12TH ST SE
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258-6663
- Phone
- (425) 879-9620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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