| Doctor Name: | JULIE ANN JOHNSON |
| NPI Number: | 1588717466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSW |
| License Number: | |
| Business Practice Address: | 120 North Main Street Park Rapids, MN - 56420 |
| Business Phone Number: | 2187327266 |
| Business Fax Number: | 2187320136 |
| Mailing Address: | 120 North Main Street, PARK RAPIDS |
| State: | MN |
| Postal Code: | 56420 |
| Phone Number: | 2187327266 |
| Fax Number: | 2187320136 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |