Renton Sports & Spine Pt

NPI #1528068533 in Renton, Washington

Provider Information

NPI Number: 1528068533
Entity Type: Organization
Organization Name: Renton Sports & Spine Pt
Primary Specialty: Physical Therapist
Enumeration Date: Aug 1, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 4361 TALBOT RD S
Address 2: SUITE 100
City: Renton
State: Washington
ZIP Code: 98055-6226
Phone: (425) 917-9885

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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