IndividualActive
Kenneth Johnson, PHYSICAL THERAPIST
NPI 1043756414 · Physical Therapist · Unalaska, AK
Provider details
- NPI number
- 1043756414
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHYSICAL THERAPIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- PHYP2225 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
36 Lavelle Court
Unalaska, AK 99685
Phone: (907) 581-1202
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 921103
Dutch Harbor, AK 99692-1103
Registry dates
- Enumerated
- 2017-01-10
- Last updated
- 2017-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.