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NPI Code Detail

MEDICARE: JENNIFER NOEL JOHNSON LMP

MEDICARE:   JENNIFER NOEL JOHNSON  LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00016452WA

General Provider Information

NPI Number : 1336219542
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NOEL JOHNSON LMP
Provider Business Mailing Address
First Line : 1666 E OLIVE WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5627
Country : US
Telephone Number : 206-323-1666
Fax Number : 206-323-6639
Provider Business Practice Location Address
First Line : 1666 E OLIVE WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5627
Country : US
Telephone Number : 206-323-1666
Fax Number : 206-323-6639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ JENNIFER NOEL JOHNSON LMP” Practice Location

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