Jessica Johnson, MPT

NPI #1275800021 in Moose Lake, Minnesota

Provider Information

NPI Number: 1275800021
Entity Type: Individual
Name: Jessica Johnson, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Nov 22, 2011
Last Updated: Jan 3, 2025

Practice Location

Address: 4791 COUNTY ROAD 10 STE 102
City: Moose Lake
State: Minnesota
ZIP Code: 55767-9221
Phone: (218) 485-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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