Ebba M Johnson in Kenosha - Physical Therapist
Ebba M Johnson - NPI 1497929012
Ebba M Johnson is a Physical Therapist in Kenosha, Wisconsin. Ebba M Johnson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ebba M Johnson is 1497929012. The last update date is 2009-04-02.
Ebba M Johnson's current location address is 524 74th Street, Kenosha, Wisconsin. You can contact this provider via phone number 2624960258 and fax number 2626577784. The mailing address for Ebba M Johnson is 524 74th Street, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ebba M Johnson |
|---|---|
| Address | 524 74th Street, Kenosha, Wisconsin |
| Phone Number | 2624960258 |
| Fax Number | 2626577784 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1497929012 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2009-04-02 |
Provider Mailing Address Detail
| Address | 524 74th Street |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 53143 |
| Phone Number | 2624960258 |
| Fax Number | 2626577784 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2940 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40167500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ebba M Johnson by the Centers for Medicare & Medicaid Services?
The Ebba M Johnson has been issued the NPI (National Provider Identifier) 1497929012, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ebba M Johnson's physical address?
The Ebba M Johnson is physically located at 524 74Th Street, in the city of Kenosha, WI, with the postal code 53143.
What is Ebba M Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ebba M Johnson is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Ebba M Johnson receive its 1497929012 assignment from the Centers for Medicare & Medicaid Services?
The Ebba M Johnson was assigned its 1497929012 by the Centers for Medicare & Medicaid Services on 2008-04-15.
As of what date were the Ebba M Johnson's details last updated?
The information pertaining to the Ebba M Johnson, including its address, specialty, and other details, was most recently updated on 2009-04-02.