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NPI Code Detail

MEDICARE: BIANCA KAY JOHNSON

MEDICARE: BIANCA KAY 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
1225X00000XOccupational Therapist1322SD

General Provider Information

NPI Number : 1982577813
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA KAY JOHNSON
Provider Business Mailing Address
First Line : 715 E 14TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-5151
Country : US
Telephone Number : 605-367-7680
Fax Number :
Provider Business Practice Location Address
First Line : 715 E 14TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-5151
Country : US
Telephone Number : 605-367-7680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2025
Last Update Date : 01/12/2026

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Directions to “ BIANCA KAY JOHNSON ” Practice Location

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