Individual
HAIDEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 NE 65TH ST, SEATTLE, WA 98115-5542
(206) 267-0863
Mailing address
1821 NELSON SIDING RD, CLE ELUM, WA 98922-9478
(425) 830-6061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60853972
WA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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