THOR JOHNSON

PARK RAPIDS, MN
NPI1346932605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A2552)
Enumeration Date2023-05-24
Last Update Date2023-05-24
Business Address
THOR JOHNSON
619 6TH ST W
PARK RAPIDS, MN 56470-1301
Phone number: 218-244-0595
Mailing Address
THOR JOHNSON
102 W RIVER ST
BIGFORK, MN 56628-4320
Phone number: 218-244-0595