NPI 1851314785

David Matthew Johnson, MSPT

Practitioner Physical Therapist Thayne, WY

Practice location

Address: 124 Petersen Parkway #6 Suite 1, Thayne, WY 83127
Phone: (307) 883-7878
Fax: (307) 883-7877
Mailing address: 124 Petersen Parkway #6, Thayne, WY 83127

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1167 (WY)

Other Physical Therapist providers in Wyoming →

Registry record

NPI: 1851314785
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2006
Record last updated: 12 Dec 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.