Individual
RICHARD J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1490 E FOREMASTER DR, STE 110, ST GEORGE, UT 84790
(435) 652-4455
(435) 652-4472
Mailing address
PO BOX 428, 1490 E FOREMASTER DR STE 110, ST GEORGE, UT 84790
(435) 652-4455
(435) 652-4472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5071
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M0000055827
ALTIUS
—
01
—
107008400102
IHC
—
01
—
311308
DMBA
—
01
—
61582
PEHP
—
01
—
87726
UHC
—
Enumeration date
01/05/2006
Last updated
12/12/2007
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