Individual
LORI L JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT, CLT
Contact information
Practice address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Mailing address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03352
IA
225100000X
Physical Therapist
Primary
1157
SD
225100000X
Physical Therapist
6924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20874
SIOUX VALLEY HEALTH PLAN
SD
01
—
244T0JO
BLUE CROSS BLUE SHIELD MN
SD
01
—
4994827
BLUE CROSS BLUE SHIELD SD
SD
01
—
4996128
BLUE CROSS BLUE SHEILD SD
SD
01
—
4997067
BLUE CROSS BLUE SHIELD SD
SD
05
—
5833740
—
SD
05
—
5833742
—
SD
05
—
5833743
—
SD
05
—
5833744
—
SD
01
—
596287
ARAZ
SD
01
—
64-02620
MEDICA
SD
01
—
64-03738
MEDICA
SD
01
—
64-04051
MEDICA
SD
01
—
64-05327
MEDICA
SD
01
—
PT1157
DAKOTACARE
SD
Enumeration date
09/23/2005
Last updated
07/08/2007
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