Individual
MS. HEIDI KRISTINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
1144 MARKET ST, TACOMA, WA 98402-3506
(253) 720-0599
Mailing address
1310 6TH AVE APT 404, TACOMA, WA 98405-3603
(253) 720-0599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015431
WA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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