Individual
MICHAEL A. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
71 SILHAVY RD, SUITE 121, VALPARAISO, IN 46383-4484
(219) 462-0576
(219) 462-0216
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 795-6106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011255A
IN
225100000X
Physical Therapist
4088
SC
225100000X
Physical Therapist
PT.012408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1692
—
SC
Enumeration date
05/16/2006
Last updated
09/16/2014
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