Individual provider · Type 1 NPI

Lisa Marie Johnson, PTA

Physical Therapy Assistant · Superior, WI

NPI number 1619078342 Active

Practice location

1420 Oakes Avenue
Superior, WI 54880

Call (715) 394-6355 Map

Fax (715) 394-2191

Mailing address

724 5th Street
Proctor, MN 55810

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1018019 (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 1619078342

Lisa Marie Johnson, PTA's National Provider Identifier is 1619078342, issued on Sep 26, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Superior, WI. The record was last updated on Jul 8, 2007.