Individual
MRS. AMANDA LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
910 S EDGERTON, MITCHELL, SD 57301
(605) 996-4778
(605) 996-3660
Mailing address
910 S EDGERTON, MITCHELL, SD 57301
(605) 996-4778
(605) 996-3660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1823
SD
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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