Individual provider · Type 1 NPI

Justin Corey Johnson, LMT

Massage Therapist · Milwaukie, OR

NPI number 1235643065 Active

Practice location

2100 SE Lake Rd Ste 1
Milwaukie, OR 97222-7759

Call (503) 344-6711 Map

Fax (503) 926-9365

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23952 (OR)

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 1235643065

Justin Corey Johnson, LMT's National Provider Identifier is 1235643065, issued on Dec 1, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Milwaukie, OR. The record was last updated on Dec 1, 2017.