Individual provider · Type 1 NPI

Mallory Marie Johnson, LMP

Massage Therapist · Issaquah, WA

NPI number 1992034144 Active

Practice location

670 NW Gilman Blvd, Suite #B2
Issaquah, WA 98027-2444

Call (425) 427-6562 Map

Mailing address

13031 123rd Ln NE, D202
Kirkland, WA 98034-7344

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60119122 (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 1992034144

Mallory Marie Johnson, LMP's National Provider Identifier is 1992034144, issued on Dec 17, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Issaquah, WA. The record was last updated on Dec 17, 2009.