Lisa K Johnson, LMT

NPI #1962903005 in Eagle, Colorado

Provider Information

NPI Number: 1962903005
Entity Type: Individual
Name: Lisa K Johnson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 23, 2018
Last Updated: Feb 23, 2018

Practice Location

Address: 717A SYLVAN LAKE ROAD
City: Eagle
State: Colorado
ZIP Code: 81631
Phone: (970) 926-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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