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Mrs. Dana Ilene Johnson, LMP,MMP
Massage Therapist in Puyallup, Washington
NPI 1780676726

Dana Ilene Johnson is a Massage Therapist based in Covington, WA. Dana Ilene Johnson practices in Puyallup, WA and has the professional credentials of LMP,MMP. The NPI Number for Dana Ilene Johnson is 1780676726 and holds a License No. MA00014833 (Washington).

The current practice location address for Dana Ilene Johnson is 11803 101St Ave Ct E, Puyallup, WA and can be reached out via phone at 253-435-1285 and via fax at 253-445-8632.

Location: 11803 101St Ave Ct E, Puyallup, WA, 98042-4161
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Provider Profile Details
NPI Number
1780676726
Provider Name
Dana Ilene Johnson
Credential
LMP,MMP
Provider Entity Type
Individual
Gender
Female
Address
11803 101St Ave Ct E, Puyallup, WA, 98042-4161
Phone Number
253-435-1285
Fax Number
253-445-8632
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0195842 01 WA L AND I
1880J0 01 REGENCE
institution
Provider Business Practice Location Address Details
Address
11803 101St Ave Ct E
City
State
Zip
98373-3473
Phone Number
253-435-1285
Fax Number
253-445-8632
person
Provider Business Mailing Address Details
Address
11803 101St Ave Ct E
City
State
Zip
98373-3473
Phone Number
253-435-1285
Fax Number
253-445-8632
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00014833 (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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