Individual
DAWN MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
551 KOKOPELLI BLVD UNIT E, FRUITA, CO 81521-6305
(970) 858-2526
(970) 858-8244
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2186
(970) 858-2208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06066
OR
225100000X
Physical Therapist
Primary
PTL.0017149
CO
Other
Enumeration date
11/01/2019
Last updated
11/04/2020
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