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Individual

MR. SCOTT EDWARD JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT MS

Contact information

Practice address
426 A MCCALL RD, MANHATTAN, KS 66502
(785) 776-0670
(785) 776-0096
Mailing address
426 A MCCALL RD, MANHATTAN, KS 66502
(785) 776-0670
(785) 776-0096

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112499
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100175780D
KS
Enumeration date
02/22/2006
Last updated
12/03/2010
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