Organization Name: | RENTON SPORTS & SPINE PT |
NPI Number: | 1528068533 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEL M JOHNSON (DIRECTOR/PHYSICAL THERAPIST) |
Mailing Address: | 4361 Talbot Rd S Suite 100 Renton |
State: | WA US |
Postal Code: | 980556226 |
Phone Number: | 4259179885 |
Fax Number: | 4259172334 |
NPI Enumeration Date: | 08/01/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00009793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |