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NPI Code Detail

MEDICARE: ELIZABETH A JOHNS

MEDICARE:   ELIZABETH A JOHNS
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
1225200000XPhysical Therapy Assistant297NE

General Provider Information

NPI Number : 1477798403
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A JOHNS
Provider Business Mailing Address
First Line : 1643 COUNTY ROAD Q
Second Line :
City : AMES
State : NE
Zip : 68621-2109
Country : US
Telephone Number : 402-721-9788
Fax Number :
Provider Business Practice Location Address
First Line : 1643 COUNTY ROAD Q
Second Line :
City : AMES
State : NE
Zip : 68621-2109
Country : US
Telephone Number : 402-721-9788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2008
Last Update Date : 12/04/2008

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Directions to “ ELIZABETH A JOHNS ” Practice Location

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