Individual
EMILY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6778
OR
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500647607
—
OR
Enumeration date
03/28/2012
Last updated
04/26/2021
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