Lisa Diane Johnson, LMT Valid NPI
Individual provider · Massage Therapist · Kailua Kona, HI
- NPI
- 1437460508
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MAT - 4487 (HI)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-06-23
- Last updated
- 2010-06-23
Practice location
77-6425 Kuakini Hwy, Suite D103
Kailua Kona, HI 96740-3213
(808) 937-7611