Tyree Connor Johnson LMP

NPI 1265655492 - Massage Therapist - 225700000X

NPI Details
NPI 1265655492
Gender Male
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1470 ELLIS ST
BELLINGHAM WA, 98225-4904, US
Phone (360) 734-9555
Fax (360) 734-9556
Business Location
1306 ELLIS ST
BELLINGHAM WA, 98225-4902, US
Phone (360) 319-1599
Fax
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA00018088
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According to our database, Mr. Tyree Connor Johnson LMP NPI is 1265655492, taxonomy code is 225700000X and license number is MA00018088, license state is located at Washington. Tyree Connor Johnson LMP physically located at 1470 Ellis St, Bellingham WA, 98225-4904. NPI Number Tyree Connor Johnson LMP has the Individual type.

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1265655492 NPI number is provided on an as is basis without warranty of any kind. 1265655492 is maintained by the National Plan & Provider Enumeration System. The contents of Tyree Connor Johnson LMP are for informational purposes only.