Jessica Johnson, LMP

NPI #1790987758 in Orting, Washington

Provider Information

NPI Number
1790987758
Entity Type
Individual
Name
Jessica Johnson, LMP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMP
Enumeration Date
Jun 1, 2007
Last Updated
Feb 12, 2008

Practice Location

Address
1112 DAFFODIL AVE NE
City
Orting
ZIP Code
98360-7439
Phone
(253) 653-8462

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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