Individual
TRACY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5301 LONGLEY LN UNIT C, RENO, NV 89511-1805
(916) 905-6378
(916) 672-0114
Mailing address
209 KIRKLAND AVE, KIRKLAND, WA 98033-6503
(425) 629-3502
(425) 629-3517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
304342
CA
225100000X
Physical Therapist
Primary
6518
NV
225100000X
Physical Therapist
PT61311447
WA
Other
Enumeration date
06/20/2022
Last updated
11/22/2024
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