Individual
MRS. JOANNA RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
152 KLONDIKE ROAD, CREEDE, CO 81130-0033
(719) 480-2845
Mailing address
PO BOX 33, CREEDE, CO 81130-0033
(719) 480-2845
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0006035
CO
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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