Individual
DR. RYAN K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2700 LOGAN TRIDENT RD, THREE FORKS, MT 59752-8647
(303) 229-9246
Mailing address
2700 LOGAN TRIDENT RD, THREE FORKS, MT 59752-8647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2161
MT
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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