MAKAILA DAWN JOHNSON

MERIDIAN, ID
NPI1447857057
Former NameMAKAILA DAWN BINGHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-3160)
Enumeration Date2020-10-06
Last Update Date2020-10-06
Business Address
MAKAILA DAWN JOHNSON DPT
3330 E LOUISE DR STE 400
MERIDIAN, ID 83642-5123
Phone number: 208-381-2138
Mailing Address
MAKAILA DAWN JOHNSON DPT
3061 N SUNNY SIDE PL
MERIDIAN, ID 83646-2789
Phone number: 208-921-0403
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