Individual
HEATHER ELIZABETH JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 VALLEY CENTRE DR, DRIGGS, ID 83422-5095
(208) 354-0089
Mailing address
600 VALLEY CENTRE DR, DRIGGS, ID 83422-5095
(208) 569-5589
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2050
MT
225200000X
Physical Therapy Assistant
Primary
PTA-2144
ID
Other
Enumeration date
05/20/2008
Last updated
06/02/2010
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