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Individual

MR. BRETT CHARLES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
14403 NE FOURTH PLAIN BLVD STE 140, VANCOUVER, WA 98682-5001
(360) 947-3147
(360) 564-7023
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
(517) 435-3670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3450
ID
225100000X
Physical Therapist
Primary
PT00008155
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134149941
ID
Enumeration date
07/25/2006
Last updated
09/22/2025
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