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Search › Idaho › 225200000X

Heather Johnston

NPI 1124285952 · on the registry since 2008 · sole proprietor

Practice

Address
600 Valley Centre Dr
Driggs, ID 83422
Phone
(208) 354-0089
Organisation at this address
Eagle Orthopedic & Sports Physical Therapy, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
MT, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho