Mallory Marie Johnson, LMP
NPI #1992034144 in Issaquah, Washington
Provider Information
- NPI Number
- 1992034144
- Entity Type
- Individual
- Name
- Mallory Marie Johnson, LMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Dec 17, 2009
- Last Updated
- Dec 17, 2009
Practice Location
- Address
- 670 NW GILMAN BLVD
- Address 2
- SUITE #B2
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-2444
- Phone
- (425) 427-6562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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