MEDICARE: KARA JOHNSON

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	225XP0200X	Pediatric Occupational Therapist	104640	MN
2	225X00000X	Occupational Therapist	329	AK

General Provider Information

NPI Number	:	1205005741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA JOHNSON

Provider Business Mailing Address
First Line	:	620 N BURLINGTON AVE
Second Line	:
City	:	FERGUS FALLS
State	:	MN
Zip	:	56537-2318
Country	:	US
Telephone Number	:	701-527-1834
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 N BURLINGTON AVE
Second Line	:
City	:	FERGUS FALLS
State	:	MN
Zip	:	56537-2318
Country	:	US
Telephone Number	:	701-527-1834
Fax Number	:

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

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	06/16/2025

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Directions to “ KARA JOHNSON ” Practice Location

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