Individual provider · Type 1 NPI

Crystal Johnson, LMP

Massage Therapist · Lake Stevens, WA

NPI number 1457582603 Active

Practice location

12506 18th St NE
Lake Stevens, WA 98258

Fax (425) 377-1880

Mailing address

22724 121st Dr NE
Arlington, WA 98223-6901

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60099580 (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 1457582603

Crystal Johnson, LMP's National Provider Identifier is 1457582603, issued on Aug 6, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Stevens, WA. The record was last updated on Aug 6, 2009.