Johnson, Derek Robert
Johnson, Derek Robert is an individual health care provider with primary practice located at 19321 Mountain Hwy E Ste 100 , Spanaway WA 98387-8450. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Derek Robert can be contacted via phone (253) 846-8126.Contact Information
Primary practice address
19321 Mountain Hwy E Ste 100
Spanaway WA 98387-8450
Phone: (253) 846-8126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT61344012 | Washington |
Profile Details
| NPI number | 1922727304 |
|---|---|
| LBN Legal business name | Johnson, Derek Robert |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2022 |
| Last updated | Aug 26th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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