Individual provider · Type 1 NPI
Jill A. Johnson, LMP
Massage Therapist · Vancouver, WA
NPI number
1124148655
Active
Practice location
9106 NE Highway 99 Ste H, Suite H
Vancouver, WA 98665-8949
Fax (360) 546-2473
Mailing address
800 NE Tenney Rd, #110-531
Vancouver, WA 98685-2831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA0020602 (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 1124148655
Jill A. Johnson, LMP's National Provider Identifier is 1124148655, issued on Mar 29, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Apr 25, 2013.