Individual
JORDAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
229 S 7TH ST, ST MARIES, ID 83861-1803
(208) 245-5551
Mailing address
11204 E 44TH AVE, SPOKANE VALLEY, WA 99206-9414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5286
ID
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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