Individual
ELAINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2408 SW 322ND PL, FEDERAL WAY, WA 98023-2545
(253) 878-4669
Mailing address
PO BOX 25972, FEDERAL WAY, WA 98093-2972
(253) 878-4669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA-60364794
WA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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