Lisa Diane Johnson, LMT
Massage Therapist in Kailua Kona, HI. Individual provider (NPI-1).
NPI number1437460508
StatusActive
Last updated in NPPESJun 23, 2010
Details
- NPI
- 1437460508
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Diane Johnson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2010
- Last updated
- Jun 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MAT - 4487 | HI | Yes |
Other names
- Lisa Diane Recknagel (Former Name)
Practice location
77-6425 Kuakini HwySuite D103
Kailua Kona, HI 96740-3213
Phone 808-937-7611
Mailing address
73-4536 Old Mamalahoa HwyUnit A
Kailua Kona, HI 96740-8632
Phone 808-089-5136
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All 80 Massage Therapist providers in Kailua Kona · All 1,064 providers in Kailua Kona
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