Individual provider · Type 1 NPI

Jenna Lari Johnston, LMT

Massage Therapist · Tigard, OR

NPI number 1891301024 Active

Practice location

12662 SW 127th Ave
Tigard, OR 97223-1859

Call (832) 773-3784 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1891301024

Jenna Lari Johnston, LMT's National Provider Identifier is 1891301024, issued on Sep 22, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tigard, OR. The record was last updated on Sep 22, 2020.