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Individual

MICHAEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
115 E HARMONY RD, STE. 160, FORT COLLINS, CO 80525-3280
(970) 221-1201
Mailing address
115 E HARMONY RD, STE. 160, FORT COLLINS, CO 80525-3280
(970) 221-1201

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12961
CO
2251X0800X
Orthopedic Physical Therapist
Primary
12916
CO

Other

Enumeration date
10/23/2014
Last updated
07/20/2016
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