Doctor Name: | ANDREA C JOHNSON |
NPI Number: | 1306075965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, PT |
License Number: | 1171 |
Business Practice Address: | 900 2nd St. S. Suite 2 Great Falls, MT - 594054406 |
Business Phone Number: | 4067703171 |
Business Fax Number: | 4067703173 |
Mailing Address: | 900 2nd St. S. Suite 2, GREAT FALLS |
State: | MT |
Postal Code: | 594054406 |
Phone Number: | 4067703171 |
Fax Number: | 4067703173 |
NPI Enumeration Date: | 07/03/2009 |
NPI Last Update Date: | 07/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |