Katherine Nan Johann LMP

NPI 1114136769 - Mechanotherapist - 172M00000X

NPI Details
NPI 1114136769
Gender Female
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
22002 64TH AVE W
SUITE M-3
MOUNTLAKE TERRACE WA, 98043-2528, US
Phone (425) 780-0399
Fax (425) 672-3675
Business Location
21604 66TH AVE W
APARTMENT A
MOUNTLAKE TERRACE WA, 98043-2100, US
Phone (425) 780-0399
Fax (425) 672-3675
Toxanomy
Taxonomy Code 172M00000X
License State Washington
License Number MA00004822
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According to our database, Mrs. Katherine Nan Johann LMP NPI is 1114136769, taxonomy code is 172M00000X and license number is MA00004822, license state is located at Washington. Katherine Nan Johann LMP physically located at 22002 64th Ave W, Mountlake Terrace WA, 98043-2528. NPI Number Katherine Nan Johann LMP has the Individual type.

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1114136769 NPI number is provided on an as is basis without warranty of any kind. 1114136769 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Nan Johann LMP are for informational purposes only.