IndividualActive
Shandel Johnson, LMP
NPI 1891154050 · Massage Therapist · Puyallup, WA
Provider details
- NPI number
- 1891154050
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- License
- 60449706 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12815 Canyon Rd E
Puyallup, WA 98373-5786
Phone: (253) 537-7447
Approximate (ZIP-level) locationGet directions
Mailing address
12815 Canyon Rd E
Puyallup, WA 98373-5786
Registry dates
- Enumerated
- 2016-02-16
- Last updated
- 2016-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.