Organization
SPORT & SPINE LLC
Active
Other names
Spokane Sport & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D JOHNSON DC, MS (DOCTOR OF CHIROPRACTIC)
(509) 720-1117
Entity
Organization
Contact information
Practice address
3209 E 57TH AVE, STE F, SPOKANE, WA 99223-7040
(509) 720-1117
Mailing address
5428 S REGAL ST, PO BOX 31032, SPOKANE, WA 99223-8153
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH60130771
WA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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