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-- KEVIN NEIL JOHNSON -- PT,ATC

Individual Provider (NPI-1) Active

Physical Medicine & Rehabilitation, Sports Medicine

Provider Information

NPI Number
1770806374
Provider Type
Individual Provider (NPI-1)
Credentials
PT,ATC
Status
Active

Contact & Location

Address
9913 214TH ST W STE B, LAKEVILLE, MN, 550441914
Phone
(952) 985-2020

Specialties & Taxonomies

Physical Medicine & Rehabilitation, Sports Medicine Primary License: MN #4901

All Addresses

MAILING

9913 214TH ST W STE B

LAKEVILLE, MN, 550441914

(952) 985-2020

LOCATION

9913 214TH ST W STE B

LAKEVILLE, MN, 550441914

(952) 985-2020