Individual
KRISTIN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1220 JACOLYN DR SW, CEDAR RAPIDS, IA 52404-1288
(319) 396-0222
Mailing address
306 ROCKVALLEY LN NW, CEDAR RAPIDS, IA 52405-3161
(319) 396-9471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10820
CO
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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