Individual
MRS. JANUARY M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Mailing address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8986
CO
225100000X
Physical Therapist
Primary
PTL.0008986
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840999425
TAX ID
CO
01
—
840999425012
HMO
CO
Enumeration date
06/23/2006
Last updated
08/15/2024
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