Renton Sports & Spine Pt

NPI #1326048364 in Kent, Washington

Provider Information

NPI Number: 1326048364
Entity Type: Organization
Organization Name: Renton Sports & Spine Pt
Primary Specialty: Physical Therapist
Enumeration Date: Jul 29, 2005
Last Updated: Jul 13, 2016

Practice Location

Address: 19400 108TH AVE SE
Address 2: SUITE 100
City: Kent
State: Washington
ZIP Code: 98031-0108
Phone: (425) 917-9885

Authorized Official

Name: MR. JOEL M JOHNSON, PT
Title: PHYSICAL THERAPIST/CLINCI DIRECTOR
Phone: (425) 917-9885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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