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Organization
RENTON SPORTS & SPINE PT
Active
Organization
RENTON SPORTS & SPINE PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOEL M JOHNSON PT (DIRECTOR/PHYSICAL THERAPIST)
(425) 917-9885
Entity
Organization
Contact information
Practice address
4361 TALBOT RD S, SUITE 100, RENTON, WA 98055-6226
(425) 917-9885
(425) 917-2334
Mailing address
4361 TALBOT RD S, SUITE 100, RENTON, WA 98055-6226
(425) 917-9885
(425) 917-2334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009793
WA
Other
Enumeration date
08/01/2005
Last updated
08/22/2020
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