Individual
SIERRA DANAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 N WALNUT ST, COTTONWOOD FALLS, KS 66845-9798
(620) 273-6369
Mailing address
302 E 12TH AVE APT 5, EMPORIA, KS 66801-5061
(620) 794-1521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04205
KS
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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