Individual
DONNA JANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13724 PAOLETTI ST, CALDWELL, ID 83607-5144
(206) 786-1610
Mailing address
13724 PAOLETTI ST, CALDWELL, ID 83607-5144
(206) 786-1610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4766
ID
Other
Enumeration date
08/14/2014
Last updated
07/18/2023
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