Individual
MR. JOEL M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4361 TALBOT RD SO, STE 100, RENTON, WA 98055
(425) 917-9885
(425) 917-2334
Mailing address
4361 TALBOT RD SO, STE 100, RENTON, WA 98055
(425) 917-9885
(425) 917-2334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002862
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147035
DEPT OF L & I
WA
01
—
5324JO
REGENCE BS
WA
05
—
8351397
—
WA
Enumeration date
11/17/2006
Last updated
07/08/2007
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