Renton Sports & Spine Pt

LBN: Renton Sports & Spine Pt
Renton Sports & Spine Pt is an health care organization with primary practice located at 4361 Talbot Rd S Ste 100, Renton WA 98055-6226. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Renton Sports & Spine Pt can be contacted via phone (425) 917-9885, or through Johnson, Joel M via phone (425) 917-9885.

Contact Information

Primary practice address
4361 Talbot Rd S Ste 100 Renton WA 98055-6226
Phone: (425) 917-9885
Fax: (425) 917-2334
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Joel M Physical Therapist (PT)
Phone: (425) 917-9885

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00009406 Washington

Profile Details

NPI number 1437159449
LBN Legal business name Renton Sports & Spine Pt
DBA Doing business as
Authorized official Johnson, Joel M Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437159449 NPPES
Washington Other 0165699 DEPT OF LABOR

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