Individual
KATIE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1220 MONTGOMERY ST, CUSTER, SD 57730-1705
(605) 673-9400
Mailing address
PO BOX 860013, MINNEAPOLIS, MN 55486-0013
(605) 673-9400
(605) 755-0694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2050
SD
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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