Individual
MRS. KATHERINE NAN JOHANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
22002 64TH AVE W, SUITE M-3, MOUNTLAKE TERRACE, WA 98043-2528
(425) 780-0399
(425) 672-3675
Mailing address
21604 66TH AVE W, APARTMENT A, MOUNTLAKE TERRACE, WA 98043-2100
(425) 780-0399
(425) 672-3675
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00004822
WA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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