Individual
MR. MATTHEW JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2200 H ST, FAIRBURY, NE 68352-1119
(402) 729-3351
Mailing address
3106 TRADERS POINTE RD, COUNCIL BLUFFS, IA 51501-8547
(712) 329-0853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1257
NE
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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