Individual
MATTHEW D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
506 E 4TH ST, SUTHERLAND, IA 51058-7668
(615) 896-6400
Mailing address
444 SHERMAN AVE, CHEROKEE, IA 51012-1940
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004267
IA
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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