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

LYNN R JOHNSON, PT; LAT

Deactivated Sole Proprietor

LYNN R JOHNSON, PT; LAT is a Physical Therapy Assistant healthcare provider located in FRUITLAND, Idaho. NPI 1437150059 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FRUITLAND, ID

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1437150059
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2005 (0.62739726027397 yrs)
Last Updated
Mar 7, 2013
Deactivated
Mar 21, 2006
License
PT178 (ID)
Sole Proprietor
Yes

Practice Information

Address
1611 N WHITLEY DR STE 1A
FRUITLAND, ID, 836192180
Browse ID providers · Browse ZIP 83619
Phone
2084520021
Fax
2084520019
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FRUITLAND, ID

Name Credential NPI
MR. JOHN WESLEY LINHART PT 1740426196
NICHOLAS COLE HARTLEY DPT 1699166843
MICHAEL BAUMGARTEN DPT, ATC 1770950271
ASHLEY MARSHALL MSC 1720438864
SHEILA DIANE JACOBS MPT 1851953160
LAURA DOLORES FOLEY DPT 1699307611
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.