Doctor Name: | MR. CRAIG DENNIS JOHNSON |
NPI Number: | 1811996754 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T |
License Number: | 1974 |
Business Practice Address: | 730 Apollo Dr Suite 120 Lino Lakes, MN - 550143037 |
Business Phone Number: | 6517847866 |
Business Fax Number: | 6517847870 |
Mailing Address: | 7581 9th St N, Suite 100 OAKDALE |
State: | MN |
Postal Code: | 551286626 |
Phone Number: | 6517484338 |
Fax Number: | 6517482892 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1974 |
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 |