NPI 1114093572

Kristine C Johnson, PT

Practitioner Physical Therapist Shelburne, VT

Practice location

Address: 120 Graham Way STE 110, Shelburne, VT 05482-7217
Phone: (802) 657-7990
Mailing address: 426 Industrial Ave Suite 190, Williston, VT 05495-4448

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 0400002908 (VT)

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Registry record

NPI: 1114093572
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2006
Record last updated: 18 Jun 2020

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.