Individual
KATRINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 S KNIK GOOSE BAY RD STE D, WASILLA, AK 99654-8090
(907) 376-1234
Mailing address
PO BOX 672492, CHUGIAK, AK 99567-2492
(908) 830-4450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
129498
AK
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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