Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4791 COUNTY ROAD 10 STE 102, MOOSE LAKE, MN 55767-9221
(218) 485-2020
(218) 485-2044
Mailing address
1939 MINNEHAHA AVE W STE 300, SAINT PAUL, MN 55104-1033
(651) 748-4338
(651) 748-2892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7519
MN
Other
Enumeration date
11/22/2011
Last updated
01/03/2025
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