Individual provider · Type 1 NPI

Johnell Vee Hall, LMP

Massage Therapist · Washougal, WA

NPI number 1104182138 Active

Practice location

3307 Evergreen Way, Suite 601
Washougal, WA 98671-2062

Fax (360) 835-5765

Mailing address

11635 NE Prescott St
Portland, OR 97220-1434

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60263712 (WA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1104182138

Johnell Vee Hall, LMP's National Provider Identifier is 1104182138, issued on Apr 4, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Washougal, WA. The record was last updated on Apr 4, 2012.