Traci I Johnson, PT

NPI #1598440943 in Broken Bow, Nebraska

Provider Information

NPI Number: 1598440943
Entity Type: Individual
Name: Traci I Johnson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 21, 2023
Last Updated: Jun 21, 2023

Practice Location

Address: 325 S 1ST AVE
City: Broken Bow
State: Nebraska
ZIP Code: 68822-2213
Phone: (308) 872-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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