Jared Johnston

NPI #1104434604 in West Frankfort, Illinois

Provider Information

NPI Number: 1104434604
Entity Type: Individual
Name: Jared Johnston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 21, 2020
Last Updated: Jul 21, 2020

Practice Location

Address: 502 W SAINT LOUIS ST
City: West Frankfort
State: Illinois
ZIP Code: 62896-1968
Phone: (618) 932-8902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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