Individual
JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 HILLCREST PLAZA WAY, MONTROSE, CO 81401-5876
(970) 252-0602
Mailing address
635 S 11TH ST, MONTROSE, CO 81401-4917
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3843
CO
Other
Enumeration date
05/31/2010
Last updated
05/31/2010
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