Lynn R Johnson, PT; LAT

NPI #1437150059 in Fruitland, Idaho

Provider Information

NPI Number: 1437150059
Entity Type: Individual
Name: Lynn R Johnson, PT; LAT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT; LAT
Enumeration Date: Aug 4, 2005
Last Updated: Mar 7, 2013

Practice Location

Address: 1611 N WHITLEY DR STE 1A
City: Fruitland
State: Idaho
ZIP Code: 83619-2180
Phone: (208) 452-0021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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