Individual
BLAKE S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
972 W MAIN ST, SUN PRAIRIE, WI 53590-2039
(608) 318-0052
(608) 413-0552
Mailing address
972 W MAIN ST, SUN PRAIRIE, WI 53590-2039
(608) 318-0052
(608) 413-0552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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