Individual
DR. BRAD A JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1331 LAKE DR SE STE 105, GRAND RAPIDS, MI 49506-1674
(616) 248-9842
(616) 248-9848
Mailing address
1331 LAKE DR SE STE 105, GRAND RAPIDS, MI 49506-1674
(616) 248-9842
(616) 248-9848
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501303790
MI
Other
Enumeration date
08/12/2013
Last updated
09/11/2025
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