Organization
CORNERSTONE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANI T JOHNSON DPT (OWNER)
(715) 723-4451
Entity
Organization
Contact information
Practice address
224 N BRIDGE ST, SUITE B, CHIPPEWA FALLS, WI 54729-2405
(715) 723-4451
(715) 723-4451
Mailing address
224 N BRIDGE ST, SUITE B, CHIPPEWA FALLS, WI 54729-2405
(715) 723-4451
(715) 723-5712
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
261QP2000X
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40420100
—
WI
Enumeration date
04/20/2006
Last updated
07/22/2015
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