Scott Michael Johnson, P.T.

NPI #1700148350 in Park Rapids, Minnesota

Provider Information

NPI Number: 1700148350
Entity Type: Individual
Name: Scott Michael Johnson, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 600 PLEASANT AVENUE
Address 2: ST. JOSEPH'S AREA HEALTH SERVICE
City: Park Rapids
State: Minnesota
ZIP Code: 56470
Phone: (218) 237-5496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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