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Individual

KAITLIN MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
512 3RD ST NE, HARTLEY, IA 51346-1204
(712) 728-2702
(712) 728-2138
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004956
IA

Other

Enumeration date
07/18/2012
Last updated
10/29/2021
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