Individual
CHRISTINE Q. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
417 W YELM AVE, YELM, WA 98597-7679
(360) 458-2444
(360) 458-2747
Mailing address
4631 WHITMAN LN SE, STE D, LACEY, WA 98513-2250
(360) 458-2444
(360) 458-2747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239385
DEPT L&I
WA
01
—
1651QU
REGENCE
WA
01
—
3600QQU
REGENCE
WA
01
—
5210QU
REGENCE
WA
01
—
6981QU
REGENCE
WA
01
—
7085QU
REGENCE
WA
01
—
8522641
DSHS
WA
Enumeration date
04/18/2007
Last updated
10/12/2016
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