Karen Marie Johnson, PT | |
1204 Cloquet Ave, Cloquet, MN 55720-1622 | |
(218) 878-0805 | |
(218) 878-0794 |
Full Name | Karen Marie Johnson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1204 Cloquet Ave, Cloquet, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053934877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Park Avenue Therapies |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437127834 PECOS PAC ID: 2264413467 Enrollment ID: O20040525000757 |
Mailing Address | Practice Location Address |
---|---|
Karen Marie Johnson, PT 1204 Cloquet Ave, Cloquet, MN 55720-1622 Ph: (218) 878-0805 | Karen Marie Johnson, PT 1204 Cloquet Ave, Cloquet, MN 55720-1622 Ph: (218) 878-0805 |
Joseph Urban Quade, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794 | |
Stephanie Ann Elling, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794 | |
Amanda Marie Dornhecker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 | |
Danielle Prom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Horizon Cir, Cloquet, MN 55720 Phone: 218-879-6956 | |
Kathryn Dorothy Roufs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 | |
Kelly Lynn Burgner, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 |