MEDICARE: ANNE MARIE JOHNSTON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05006494A	IN

General Provider Information

NPI Number	:	1174728273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE MARIE JOHNSTON PT

Provider Business Mailing Address
First Line	:	3700 WASHINGTON AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47750-0001
Country	:	US
Telephone Number	:	812-485-5603
Fax Number	:

Provider Business Practice Location Address
First Line	:	1146 WASHINGTON SQ
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-6809
Country	:	US
Telephone Number	:	812-485-5603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	07/08/2007

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Directions to “ ANNE MARIE JOHNSTON PT” Practice Location

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