MR. Carl Austin Johnson, MPT

NPI #1912063652 in Blackfoot, Idaho

Provider Information

NPI Number: 1912063652
Entity Type: Individual
Name: MR. Carl Austin Johnson, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 285 W FRANCIS
Address 2: BLACKFOOT PHYSICAL THERAPY
City: Blackfoot
State: Idaho
ZIP Code: 83221
Phone: (208) 785-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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