Individual
ALYSSA MCKENZY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11216 SUNRISE BLVD E STE 3-108, PUYALLUP, WA 98374-8848
(253) 604-0505
Mailing address
10515 198TH STREET CT E, GRAHAM, WA 98338-7701
(253) 250-2054
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60911218
WA
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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