Individual
MR. DAVID MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
124 PETERSEN PARKWAY #6, SUITE 1, THAYNE, WY 83127
(307) 883-7878
(307) 883-7877
Mailing address
124 PETERSEN PARKWAY, #6, THAYNE, WY 83127
(307) 883-9632
(307) 883-7877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1167
WY
Other
Enumeration date
07/25/2006
Last updated
12/12/2012
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