Heather Elizabeth Johnston

NPI #1124285952 in Driggs, Idaho

Provider Information

NPI Number: 1124285952
Entity Type: Individual
Name: Heather Elizabeth Johnston
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 20, 2008
Last Updated: Jun 2, 2010

Practice Location

Address: 600 VALLEY CENTRE DR
City: Driggs
State: Idaho
ZIP Code: 83422-5095
Phone: (208) 354-0089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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