Individual
BRADEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6309 RONALD REAGAN DR, LAKE SAINT LOUIS, MO 63367-2681
(636) 755-4566
(636) 561-0242
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2026008573
MO
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
01/05/2026
Last updated
02/24/2026
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