Clark Johnson

NPI #1407124910 in Logan, Utah

Provider Information

NPI Number: 1407124910
Entity Type: Individual
Name: Clark Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 12, 2011
Last Updated: May 9, 2023

Practice Location

Address: 258 S MAIN ST STE 210
City: Logan
State: Utah
ZIP Code: 84321-5768
Phone: (435) 383-6120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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