Individual
CHAD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868
(715) 236-6367
Mailing address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-6367
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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