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

BENJAMIN BRADLEY JOHNSON

Active Sole Proprietor

BENJAMIN BRADLEY JOHNSON is a Physical Therapy Assistant healthcare provider located in MT PLEASANT, Wisconsin. NPI 1699379941 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MT PLEASANT, WI

Registration Details

NPI Number
1699379941
Provider Type
Individual
Gender
Male
NPI Issued
Nov 27, 2020 (5.6741845608302 yrs)
Last Updated
Nov 27, 2020
License
15022-24 (WI)
Sole Proprietor
Yes

Practice Information

Address
6233 BANKERS RD STE 12
MT PLEASANT, WI, 534039700
Browse WI providers · Browse ZIP 53403
Phone
2627710404
Fax
8446053317
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MT PLEASANT, WI

Name Credential NPI
FRANK C FANTAZZI PT DPT 1154349090
KATIE GREEN DPT 1255688586
MICHELLE COMPTY DPT 1932450764
LAUREN ANDERSON DPT 1053844704
CLAIRE KROMM DPT 1245716604
TYLER JANKIEWICZ DPT 1992426720
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.