Individual
ELYSIA ORION JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 STATE AVE NE, OLYMPIA, WA 98506-4557
(360) 352-2488
Mailing address
153 WIGLEY RD, CENTRALIA, WA 98531-9109
(360) 545-5974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61353975
WA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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