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Mr. Shelley Dale Johnston, RPT
Orthopedic Physical Therapist in La Grande, Oregon
NPI 1578513917

Shelley Dale Johnston is a Orthopedic Physical Therapist based in La Grande, OR and is specialized in Orthopedic. Shelley Dale Johnston practices in La Grande, OR and has the professional credentials of RPT. The NPI Number for Shelley Dale Johnston is 1578513917 and holds a License No. 0557 (Oregon).

The current practice location address for Shelley Dale Johnston is 301 4Th St, La Grande, OR and can be reached out via phone at 541-963-9340 and via fax at 541-963-4562.

Location: 301 4Th St, La Grande, OR, 97850-1901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578513917
Provider Name
Shelley Dale Johnston
Credential
RPT
Provider Entity Type
Individual
Gender
Male
Address
301 4Th St, La Grande, OR, 97850-1901
Phone Number
541-963-9340
Fax Number
541-963-4562
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
838502000 01 OR RBCBSO
152140 05 OR
P00233908 01 OR RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
301 4Th St
City
La Grande
State
Oregon
Zip
97850-1901
Phone Number
541-963-9340
Fax Number
541-963-4562
person
Provider Business Mailing Address Details
Address
301 4Th St
City
La Grande
State
Oregon
Zip
97850-1901
Phone Number
541-963-9340
Fax Number
541-963-4562
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
0557 (Oregon)
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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