Individual
LUKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 3RD AVE S, CLEAR LAKE, SD 57226-2016
(605) 874-3552
(605) 874-3568
Mailing address
701 3RD AVE S, CLEAR LAKE, SD 57226-2016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1524
SD
225100000X
Physical Therapist
8556
MN
Other
Enumeration date
05/20/2008
Last updated
10/25/2016
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