Individual
CALLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10811 1ST DR SE, EVERETT, WA 98208-7057
(425) 345-7038
Mailing address
10811 1ST DR SE, EVERETT, WA 98208-7057
(425) 345-7038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60677110
WA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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