Individual
MRS. STACIE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MP.T.
Contact information
Practice address
2023 COLFAX ST, SCHUYLER, NE 68661-1025
(402) 352-3977
Mailing address
1614 CHICAGO ST, SCHUYLER, NE 68661-1342
(402) 352-5759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1152
NE
Other
Enumeration date
04/14/2008
Last updated
06/20/2014
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