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Individual

JEFFREY J JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4642-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40228400
WI
Enumeration date
11/26/2007
Last updated
06/11/2025
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