Individual
MS. JENAE MAYRE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 US HIGHWAY 59 SE STE A, THIEF RIVER FALLS, MN 56701-3413
(218) 681-0449
Mailing address
1501 MEADOWLARK CT, THIEF RIVER FALLS, MN 56701-2550
(218) 689-6213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3123
MN
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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