Most Relevant Information
Provider Data
| NPI Number: | 1003003138 |
| Provider Name: | TRICIA L JOHNSON-FENTER LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00024629 |
Most Important Dates
| Enumeration Date: | 10/02/2007 |
| Last Updated: | 10/02/2007 |
Provider Practice Location
119 UNION AVE
SUITE B
SNOHOMISH
WA
982902942
Practice Location Phone/Fax
| Phone: | 3605630629 |
| Fax: |
Provider Mailing Location
PO BOX 946
SNOHOMISH
WA
982910946
Provider Mailing Phone/Fax
| Phone: | 3605630629 |
| Fax: |