Individual
MRS. CRYSTAL JOHANNSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1355 MAPLE ST, FARMINGTON, MO 63640-7641
(573) 756-9900
(573) 756-9988
Mailing address
13537 BARRETT PARKWAY DR STE 105, BALLWIN, MO 63021-5896
(314) 821-9126
(314) 821-9142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008034892
MO
Other
Enumeration date
01/12/2010
Last updated
09/12/2025
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