Individual
KYLE CAMERON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2310 N 400 E STE B, LOGAN, UT 84341-1799
(435) 774-8557
Mailing address
314 W 3170 S, NIBLEY, UT 84321-6693
(435) 760-6095
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13395834-2401
UT
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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