Individual
SIDNEE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
172 4TH ST SE, HURON, SD 57350-2590
(605) 353-6253
(605) 353-7383
Mailing address
172 4TH ST SE, HURON, SD 57350-2590
(605) 353-6253
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0501
SD
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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