Johnson, Mary

Johnson, Mary is an sole proprietor health care provider with primary practice located at 1286 E Tuttle St , Meridian ID 83646-5932. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Mary can be contacted via phone (801) 872-3204.

Contact Information

Primary practice address
1286 E Tuttle St Meridian ID 83646-5932
Phone: (801) 872-3204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7067 Idaho

Profile Details

NPI number 1598432718
LBN Legal business name Johnson, Mary
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2021
Last updated Aug 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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