Individual provider · Type 1 NPI

Jeremiah Lyles Johnson, LMP

Massage Therapist · Marysville, WA

NPI number 1467754986 Active

Practice location

7514 46th Pl NE
Marysville, WA 98270-8913

Call (253) 677-2799 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60177126 (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 1467754986

Jeremiah Lyles Johnson, LMP's National Provider Identifier is 1467754986, issued on Dec 3, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marysville, WA. The record was last updated on Dec 3, 2010.