Johnson, Dana Ilene

Johnson, Dana Ilene is an sole proprietor health care provider with primary practice located at 11803 101St Ave Ct E Ste 100, Puyallup WA 98373-3473. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Johnson, Dana Ilene can be contacted via phone (253) 435-1285.

Contact Information

Primary practice address
11803 101St Ave Ct E Ste 100 Puyallup WA 98373-3473
Phone: (253) 435-1285
Fax: (253) 445-8632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00014833 Washington

Profile Details

NPI number 1780676726
LBN Legal business name Johnson, Dana Ilene
Credentials LMP, MMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780676726 NPPES
Washington Other 0195842 L AND I
Washington Other 1880J0 L AND I

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