David Johnson
Massage Therapist in Vancouver, WA. Individual provider (NPI-1).
NPI number1366848731
StatusActive
Last updated in NPPESNov 13, 2014
Details
- NPI
- 1366848731
- Entity type
- Individual (NPI-1)
- Name
- David Johnson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2014
- Last updated
- Nov 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA 00022224 | WA | Yes |
Practice location
1319 Ne 134th St Ste 103Vancouver, WA 98685-2718
Phone 360-574-3141
Mailing address
1319 Ne 134th St Suite 103Vancouver, WA 98685
Phone 360-574-3141
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