Katie Marie Johnson, PT

NPI #1952863748 in Custer, South Dakota

Provider Information

NPI Number: 1952863748
Entity Type: Individual
Name: Katie Marie Johnson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 2, 2019
Last Updated: Apr 2, 2019

Practice Location

Address: 1220 MONTGOMERY ST
City: Custer
State: South Dakota
ZIP Code: 57730-1705
Phone: (605) 673-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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