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Individual
MR. JONATHAN JOHNSON
Active
Individual
MR. JONATHAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA 00021187
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00021187
MASSAGE LICENSE NUMBER
WA
Enumeration date
04/21/2026
Last updated
04/21/2026
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