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Lyle Johnson
Massage Therapist in Lake Stevens, Washington
NPI 1730548850

Lyle Johnson is a Massage Therapist based in Lake Stevens, WA. Lyle Johnson practices in Lake Stevens, WA. The NPI Number for Lyle Johnson is 1730548850 and holds a License No. MA6056941 (Washington).

The current practice location address for Lyle Johnson is 8216 12Th St Se, Lake Stevens, WA and can be reached out via phone at 425-879-9620.

Location: 8216 12Th St Se, Lake Stevens, WA, 98258-6663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730548850
Provider Name
Lyle Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
8216 12Th St Se, Lake Stevens, WA, 98258-6663
Phone Number
425-879-9620
Fax Number
Provider Enumeration Date
02/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8216 12Th St Se
City
Lake Stevens
State
Washington
Zip
98258-6663
Phone Number
425-879-9620
Fax Number
person
Provider Business Mailing Address Details
Address
8216 12Th St Se
City
Lake Stevens
State
Washington
Zip
98258-6663
Phone Number
425-879-9620
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA6056941 (Washington)
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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