Individual
JUDE T. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
538 YELLOWSTONE AVE, CODY, WY 82414-9300
(307) 578-8123
(307) 578-8121
Mailing address
538 YELLOWSTONE AVE, CODY, WY 82414-9300
(307) 578-8123
(307) 578-8121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1418
WY
225100000X
Physical Therapist
4574
NM
Other
Enumeration date
06/03/2012
Last updated
11/02/2021
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