Carmin K Johnson

Individual provider Active NPI Physical Therapy Assistant · Windom, MN

NPI 1992564645 · NPPES record last updated Mar 15, 2024

Key facts

NPI
1992564645
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A1378 (MN)
Practice address
2150 Hospital Dr
Windom, MN 56101-1287
Phone
(507) 831-0634
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A1378MNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A1378 MN Yes

Addresses

Primary practice location

2150 Hospital Dr
Windom, MN 56101-1287

Mailing address

2150 Hospital Dr
Windom, MN 56101-1287

Other providers in Windom, MN

All providers in Windom, MN · Physical Therapy Assistant in Minnesota

Sources for this page

Verify at the official NPI Registry.