Individual
NICHOLAS JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1101 E REPUBLIC AVE, SALINA, KS 67401-5282
(785) 825-1361
Mailing address
1614 E REPUBLIC AVE, SALINA, KS 67401-5379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
481169103
KS
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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