Individual
KATHRYN ANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3912 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4709
(877) 609-0123
(888) 425-0398
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13037
MN
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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