Organization
KATIE JOHNSON PT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE JOHNSON DPT (PHYSICAL THERAPIST)
(605) 321-3479
Entity
Organization
Contact information
Practice address
112 BROKEN SPUR CT, CUSTER, SD 57730-7270
(605) 321-3479
Mailing address
112 BROKEN SPUR CT, CUSTER, SD 57730-7270
(605) 321-3479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
09/14/2021
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