IndividualActive
Breanna Johnson
NPI 1134748916 · Physical Therapy Assistant · Lake Geneva, WI
Provider details
- NPI number
- 1134748916
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2668-19 (WI)
Mailing address
W3670 Wildwood Dr
Lake Geneva, WI 53147-3567
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2020-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.