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Organization
PERFORMANCE MYOTHERAPY NW LLC
Active
Organization
PERFORMANCE MYOTHERAPY NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ROBERT JOHNSON LMT (MASSAGE THERAPIST)
(425) 343-8267
Entity
Organization
Contact information
Practice address
11545 15TH AVE NE STE 305, SEATTLE, WA 98125-6358
(425) 343-8267
(425) 374-3435
Mailing address
11132 17TH ST SE, LAKE STEVENS, WA 98258-7939
(425) 343-8267
(425) 374-3435
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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