Individual
CRYSTAL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12506 18TH ST NE, LAKE STEVENS, WA 98258
(425) 334-2154
(425) 377-1880
Mailing address
22724 121ST DR NE, ARLINGTON, WA 98223-6901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60099580
WA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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