Individual
HEIDI LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9216 BAYSHORE DR NW, SUITE 200, SILVERDALE, WA 98383-8533
(360) 692-4111
Mailing address
9518 WHEELER AVE, GIG HARBOR, WA 98332-2141
(360) 774-1885
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016981
WA
Other
Enumeration date
04/19/2012
Last updated
08/07/2013
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