Thor Johnson

NPI #1346932605 in Park Rapids, Minnesota

Provider Information

NPI Number: 1346932605
Entity Type: Individual
Name: Thor Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 24, 2023
Last Updated: May 24, 2023

Practice Location

Address: 619 6TH ST W
City: Park Rapids
State: Minnesota
ZIP Code: 56470-1301
Phone: (218) 244-0595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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