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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEAU Q JOHNSON, PT

Active

BEAU Q JOHNSON, PT is a Physical Therapy Assistant healthcare provider located in HOLMEN, Wisconsin. NPI 1316029358 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HOLMEN, WI

Registration Details

NPI Number
1316029358
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2006 (19.833458282006 yrs)
Last Updated
Sep 15, 2020
Licenses
5231022-2401 (UT)
11650 (WI)

Practice Information

Address
1303 S MAIN ST
HOLMEN, WI, 54636
Browse WI providers · Browse ZIP 54636
Phone
6087850940
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in HOLMEN, WI

Name Credential NPI
DR. STEVEN R MCCOY PT 1194701656
STEVEN W JOHNSON DPT 1003961137
MISS MARY CATHERINE TERRY DPT, ATC 1659499978
MRS. STEFANIE S MCCOY PT 1508085978
SHARI LYNN BERRY PT 1932320603
MRS. DANIELLE MARIE NESVIK DPT 1487950572
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.