Individual
MICHELLE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21370 SW LANGER FARMS PKWY STE 138, SHERWOOD, OR 97140-9140
(503) 625-6247
Mailing address
23350 SW OLD HIGHWAY 99W, SHERWOOD, OR 97140-8640
(920) 202-0626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21386
OR
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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