JOHANNA L MARK LMP
NPI 1891012779
Massage Therapist in Olympia, WA
- Individual
- Female
- Massage Therapist
About JOHANNA MARK
This page provides the complete NPI Profile along with additional information for Johanna Mark, a provider established in Olympia, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1891012779 assigned on April 2010. The practitioner's primary taxonomy code is 225700000X with license number MA6005893 (WA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1891012779 Verify this NPI
- Provider Name
- JOHANNA L MARK LMP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 313 5TH AVE SE SUITE B OLYMPIA, WA 98501
- Location Phone
- (360) 357-6953
- Mailing Address
- 4518 RIDGEWOOD CT NW #8 OLYMPIA, WA 98502
- Mailing Phone
- (206) 251-8144
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-30-2010
- Last Update Date
- 04-30-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA6005893
- License State
- WA
- Taxonomy Description
- An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891012779, enumerated as an "individual" on April 30, 2010.
The provider is located at 313 5TH AVE SE SUITE B OLYMPIA, WA 98501 and the phone number is (360) 357-6953.
Massage Therapist with taxonomy code 225700000X.