Lynn Johnson, PT; LAT

NPI 1437150059 · on the registry since 2005 · sole proprietor

Practice

Address: 1611 N Whitley Dr Ste 1a
Fruitland, ID 83619
Phone: (208) 452-0021
Fax: (208) 452-0019
Organisation at this address: Therapy Connection
Snake River Dermatology, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-03-07

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