Lisa M Johnston, LMT
Massage Therapist in Medford, OR. Individual provider (NPI-1).
NPI number1366781007
StatusActive
Last updated in NPPESSep 16, 2013
Details
- NPI
- 1366781007
- Entity type
- Individual (NPI-1)
- Name
- Lisa M Johnston
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2013
- Last updated
- Sep 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 18862 | OR | Yes |
Practice location
1200 Mira Mar AveC/O Ema'S Salon
Medford, OR 97504
Phone 541-857-7365
Mailing address
860 S Oregon StJacksonville, OR 97530-9321
Phone 541-499-5962
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