Doctor Name: | JESSICA LINDSEY JOHNSON |
NPI Number: | 1437341609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 7988 |
Business Practice Address: | 2904 4th Ave Ne Suite 300 Puyallup, WA - 983727053 |
Business Phone Number: | 2538402313 |
Business Fax Number: | 2538406340 |
Mailing Address: | 1143 Lakemoor Dr, WOODBURY |
State: | MN |
Postal Code: | 551295307 |
Phone Number: | 6514366883 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 08/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |