Tanna K Johnson, LMT

NPI #1831438621 in Ridgefield, Washington

Provider Information

NPI Number: 1831438621
Entity Type: Individual
Name: Tanna K Johnson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Feb 13, 2013
Last Updated: Feb 13, 2013

Practice Location

Address: 415 NE 194TH ST UNIT 27
City: Ridgefield
State: Washington
ZIP Code: 98642-9404
Phone: (360) 977-0946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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