Individual
CASEY JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2623 EUCLID AVE, WENATCHEE, WA 98801-3596
(509) 664-7081
Mailing address
725 VISTA VIEW PL, EAST WENATCHEE, WA 98802-4048
(509) 264-3957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60481288
WA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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