Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDY JOHNSON
ActiveMANDY JOHNSON is a Physical Therapy Assistant healthcare provider located in LINCOLN, North Dakota. NPI 1629581624 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LINCOLN, ND
Registration Details
- NPI Number
- 1629581624
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2017 (8.7557792146303 yrs)
- Last Updated
- Mar 25, 2022
- Licenses
-
5265 (ID)2219 (ND)
Practice Information
- Address
-
2730 PAINTBALL WAYLINCOLN, ND, 585042500Browse ND providers · Browse ZIP 58504
- Phone
- 7019552102
- Fax
- 7019555715
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.