Pete Richar Johnson

NPI #1184314866 in Blackfoot, Idaho

Provider Information

NPI Number
1184314866
Entity Type
Individual
Name
Pete Richar Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
May 8, 2023
Last Updated
May 8, 2023

Practice Location

Address
131 N OAK ST
State
Idaho
ZIP Code
83221-1757
Phone
(208) 684-2444

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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