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Contact Information

JENNIFER JOHNSON, PTA
14345 COUNTY HWY B
SPARTA, WI54656
 Phone: 608-526-9888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JENNIFER JOHNSON · (Female)

NPI Number 1669929279
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2456-19
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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