Individual provider · Type 1 NPI

Jahja Djajaputra, LMT

Massage Therapist · Lake Stevens, WA

NPI number 1649877481 Active

Practice location

9633 Market Pl Unit 103
Lake Stevens, WA 98258-7944

Call (425) 335-0300 Map

Fax (425) 335-0302

Mailing address

11030 Evergreen Way Apt E123
Everett, WA 98204-6655

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61098412 (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.

7 other providers at this address

Other massage therapist providers in Lake Stevens

See all in Lake Stevens →

About NPI 1649877481

Jahja Djajaputra, LMT's National Provider Identifier is 1649877481, issued on Oct 5, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Stevens, WA. The record was last updated on Oct 5, 2020.