Johnson, Thia Miranda

Johnson, Thia Miranda is an individual health care provider with primary practice located at 701 Willow St , Peshtigo WI 54157-1165. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Johnson, Thia Miranda can be contacted via phone (715) 582-3962.

Contact Information

Primary practice address
701 Willow St Peshtigo WI 54157-1165
Phone: (715) 582-3962
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2514 Wisconsin

Profile Details

NPI number 1568910347
LBN Legal business name Johnson, Thia Miranda
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2016
Last updated Sep 21st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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