Individual provider · Type 1 NPI

Breanna Johnson

Physical Therapy Assistant · Lake Geneva, WI

NPI number 1134748916 Active

Practice location

700 Geneva Pkwy N
Lake Geneva, WI 53147-4594

Mailing address

W3670 Wildwood Dr
Lake Geneva, WI 53147-3567

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2668-19 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1134748916

Breanna Johnson's National Provider Identifier is 1134748916, issued on Apr 13, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Geneva, WI. The record was last updated on Apr 13, 2020.