Individual
MS. REBECCA RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC,CSCS
Contact information
Practice address
2700 EVERGREEN PKWY NW, OLYMPIA, WA 98505-0001
(360) 867-6587
Mailing address
7035 LAZY CT SW, TUMWATER, WA 98512-7410
(408) 230-3023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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