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Search › Minnesota › 225200000X

Thor Johnson

NPI 1346932605 · on the registry since 2023 · sole proprietor

Practice

Address
619 6th St W
Park Rapids, MN 56470
Phone
(218) 244-0595
Organisation at this address
Hubbard County Heritage Living Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-24

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 Minnesota