IndividualActive
Bergan Johnsen, PTA
NPI 1740950146 · Physical Therapy Assistant · Council Bluffs, IA
Provider details
- NPI number
- 1740950146
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 110375 (IA)
Practice location
3000 Risen Son Blvd
Council Bluffs, IA 51503-1911
Phone: (712) 366-9655
Mailing address
2396 Sharon Ave
Logan, IA 51546-5028
Registry dates
- Enumerated
- 2021-09-16
- Last updated
- 2021-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.