IndividualActive
Heather Johnston
NPI 1124285952 · Physical Therapy Assistant · Driggs, ID
Provider details
- NPI number
- 1124285952
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2050 (MT)
Mailing address
600 Valley Centre Dr
Driggs, ID 83422-5095
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2010-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.