Individual
JUSTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1200
Mailing address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1200
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5780
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0245579
L&I
WA
01
—
8538274
DSHS
WA
01
—
8950244
L&I CRIME VICTIMS
WA
Enumeration date
01/27/2009
Last updated
05/17/2021
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