Individual
VLADIK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 E 13TH ST, BURKE, SD 57523-2020
(605) 208-1832
Mailing address
428 E 13TH ST, BURKE, SD 57523-2020
(605) 208-1832
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6115
SD
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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