Doctor Name: | NICHOLAS JOHANSEN |
NPI Number: | 1891143350 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 481169103 |
Business Practice Address: | 1101 E Republic Ave Salina, KS - 674015282 |
Business Phone Number: | 7858251361 |
Business Fax Number: | |
Mailing Address: | 1614 E Republic Ave, SALINA |
State: | KS |
Postal Code: | 674015379 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/25/2016 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 481169103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |