Individual
MRS. SUMMER RAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2802 CASTLES GATE DR, SIOUX CITY, IA 51106-7203
(712) 266-0707
(712) 266-0709
Mailing address
1706 ARNOLD PALMER LN, ELK POINT, SD 57025-2312
(605) 530-7460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4071
IA
Other
Enumeration date
07/12/2008
Last updated
09/18/2008
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