NPI 1245746403

Tanner J Johnson

Practitioner Recreation Therapist Spokane, WA

Practice location

Address: 3754 W Indian Trail Rd, Spokane, WA 99208-4736
Phone: (509) 328-7041
Fax: (509) 328-7582

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence CG60786158 (WA)

Other Recreation Therapist providers in Washington →

Registry record

NPI: 1245746403
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2017
Record last updated: 22 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.