Individual
JENNI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
407 ULUNIU ST STE 301, KAILUA, HI 96734-2537
(808) 261-4321
Mailing address
3150 BROKAW ST APT 5, HONOLULU, HI 96815-4115
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
97
HI
225700000X
Massage Therapist
Primary
MAT-16131
HI
Other
Enumeration date
11/16/2015
Last updated
02/17/2024
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