Individual
TANNER J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
(509) 328-7582
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
CG60786158
WA
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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