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Blair Johnson, PT
Orthopedic Physical Therapist in South Bend, Indiana
NPI 1538553797

Blair Johnson is a Orthopedic Physical Therapist based in South Bend, IN and is specialized in Orthopedic. Blair Johnson practices in South Bend, IN and has the professional credentials of PT. The NPI Number for Blair Johnson is 1538553797 and holds a License No. 36000299A (Indiana).

The current practice location address for Blair Johnson is 1815 E Ireland Rd Ste 100, South Bend, IN and can be reached out via phone at 574-647-5790 and via fax at 574-647-5792.

Location: 1815 E Ireland Rd Ste 100, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538553797
Provider Name
Blair Johnson
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1815 E Ireland Rd Ste 100, South Bend, IN, 46617-1924
Phone Number
574-647-5790
Fax Number
574-647-5792
Provider Enumeration Date
03/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201284010 05 IN
institution
Provider Business Practice Location Address Details
Address
1815 E Ireland Rd Ste 100
City
South Bend
State
Indiana
Zip
46614-2845
Phone Number
574-647-5790
Fax Number
574-647-5792
person
Provider Business Mailing Address Details
Address
1815 E Ireland Rd Ste 100
City
South Bend
State
Indiana
Zip
46614-2845
Phone Number
574-647-5790
Fax Number
574-647-5792
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
36000299A (Indiana)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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