Individual provider · Type 1 NPI
Deserae Lei Johnson, LMT
Specialist · Kuna, ID
NPI number
1033537170
Active
Practice location
1654 W Boise St
Kuna, ID 83634-3137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MAS-1035 (ID) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1033537170
Deserae Lei Johnson, LMT's National Provider Identifier is 1033537170, issued on Apr 5, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kuna, ID. The record was last updated on Apr 5, 2014.