Matthew Trent Johansen
Physical Therapist - Orthopedic
652 S. Medical Center Dr. #ll10
StGeorge
, Utah 84790-7017
Matthew Trent Johansen
Physical Therapist - Orthopedic
652 S. Medical Center Dr. #ll10
StGeorge
, Utah 84790-7017
(435) 251-2250
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Matthew Trent Johansen
- 652 S. Medical Center Dr. #ll10
- St. George, UT
- Zip : 84790-7017
- Phone : (435) 251-2250
Second Address
- Matthew Trent Johansen
- 652 S. Medical Center Dr. #ll10
- St. George, UT
- Zip : 84790-7017
- Phone : (435) 251-2250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 313728-2401 | UT |
National Provider Identifier
| NPI | 1073821088 |
|---|---|
| Provider Name | Matthew Trent Johansen |
| First Address | St. George, UT 84790-7017 |
| Second Address | St. George, UT 84790-7017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2010 |
| Last Update Date | 24/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.