Individual
NANCY L JOHNSON-RAUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1629 BROADWAY AVE N, ROCHESTER, MN 55906-4103
(952) 835-4512
(888) 425-0398
Mailing address
7825 3RD ST N, SUITE 105, OAKDALE, MN 55128-5444
(952) 835-4512
(888) 425-0398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5018
MN
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
12/28/2005
Last updated
01/05/2024
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