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Jennifer Johnston
Massage Therapist in Wasilla, Alaska
NPI 1558718775

Jennifer Johnston is a Massage Therapist based in Wasilla, AK. Jennifer Johnston practices in Wasilla, AK. The NPI Number for Jennifer Johnston is 1558718775 and holds a License No. 101980 (Alaska).

The current practice location address for Jennifer Johnston is 546 N Main St, Wasilla, AK and can be reached out via phone at 907-376-2600 and via fax at 907-376-2605.

Location: 546 N Main St, Wasilla, AK, 99654-7019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558718775
Provider Name
Jennifer Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
546 N Main St, Wasilla, AK, 99654-7019
Phone Number
907-376-2600
Fax Number
907-376-2605
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
101980 01 AK STATE OCCUPATIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
546 N Main St
City
Wasilla
State
Alaska
Zip
99654-7019
Phone Number
907-376-2600
Fax Number
907-376-2605
person
Provider Business Mailing Address Details
Address
546 N Main St
City
Wasilla
State
Alaska
Zip
99654-7019
Phone Number
907-376-2600
Fax Number
907-376-2605
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
101980 (Alaska)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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