NPI 1053669853

Johnna Renee Underwood, PT

Practitioner Physical Therapist Fairbanks, AK

Practice location

Address: 459 Farmers Loop Rd, Fairbanks, AK 99712-1406
Phone: (907) 550-0587
Mailing address: 1600 College Rd, Fairbanks, AK 99709-4173

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 613 (AK)

Other Physical Therapist providers in Alaska →

Registry record

NPI: 1053669853
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2012
Record last updated: 27 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.