Kevin Neil Johnson PT,ATC

NPI 1770806374 - Physical Medicine & Rehabilitation - 2081S0010X

NPI Details
NPI 1770806374
Gender Male
Enumeration Date 03/10/2010
Last Updated 03/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
9913 214TH ST W STE B
LAKEVILLE MN, 55044-1914, US
Phone (952) 985-2020
Fax
Business Location
9913 214TH ST W STE B
LAKEVILLE MN, 55044-1914, US
Phone (952) 985-2020
Fax
Toxanomy
Taxonomy Code 2081S0010X
License State Minnesota
License Number 4901
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According to our database, Kevin Neil Johnson PT,ATC NPI is 1770806374, taxonomy code is 2081S0010X and license number is 4901, license state is located at Minnesota. Kevin Neil Johnson PT,ATC physically located at 9913 214th St W Ste B, Lakeville MN, 55044-1914. NPI Number Kevin Neil Johnson PT,ATC has the Individual type.

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1770806374 NPI number is provided on an as is basis without warranty of any kind. 1770806374 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Neil Johnson PT,ATC are for informational purposes only.