Individual provider · Type 1 NPI

Larrena Sue Johnson, LMP

Massage Therapist · Brewster, WA

NPI number 1497147599 Active

Practice location

815 South Bridge Street
Brewster, WA 98812-2085

Call (509) 689-2225 Map

Mailing address

PO Box 2085, 815 S. Bridge St
Brewster, WA 98812-2085

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60390106 (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 1497147599

Larrena Sue Johnson, LMP's National Provider Identifier is 1497147599, issued on Feb 26, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brewster, WA. The record was last updated on Feb 26, 2015.