Individual
TARA E. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
175 COMMONS LOOP STE 100, KALISPELL, MT 59901-1904
(406) 752-7250
(406) 752-6250
Mailing address
175 COMMONS LOOP STE 100, KALISPELL, MT 59901-1904
(406) 752-7250
(406) 752-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00010269
WA
225100000X
Physical Therapist
Primary
PTP-PT-LIC-15006
MT
Other
Enumeration date
12/20/2006
Last updated
04/22/2021
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