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MS. GAIL I. R. JOHNSON
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1013074129
Individual Registrant:MS. GAIL I. R. JOHNSON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5121 WASHINGTON ST. BUTTE DES MORTS, WI 54927-0346 US
Tel: 920-540-4808 Fax: --
Tel: 920-540-4808 Fax: --
Contact information for business:
5121 WASHINGTON ST. P.O. BOX 346 BUTTE DES MORTS, WI 54927-0346 US
Tel: 920-540-4808 Fax: --
Tel: 920-540-4808 Fax: --
Registration Information:
NPI: 1013074129
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | WI | 3701-024 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 40294500 | WI | 05 |
