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1265787048
KAITLIN MARIE JOHNSON
HARTLEY, IA
NPI
1265787048
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Former Name
KAITLIN MARIE LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 004956)
Enumeration Date
2012-07-18
Last Update Date
2021-10-29
Business Address
KAITLIN MARIE JOHNSON PT
512 3RD ST NE
HARTLEY, IA 51346-1204
Phone number: 712-728-2702
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Mailing Address
KAITLIN MARIE JOHNSON PT
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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