Johnson-Rauen, Nancy L

Johnson-Rauen, Nancy L is an sole proprietor health care provider with primary practice located at 1629 Broadway Ave N , Rochester MN 55906-4103. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Johnson-Rauen, Nancy L can be contacted via phone (952) 835-4512.

Contact Information

Primary practice address
1629 Broadway Ave N Rochester MN 55906-4103
Phone: (952) 835-4512
Fax: (888) 425-0398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5018 Minnesota

Profile Details

NPI number 1396722674
LBN Legal business name Johnson-Rauen, Nancy L
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Jan 5th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396722674 NPPES
Minnesota MEDICAID ENROLLED

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