IndividualActive
Abigail Johnson, PTA
NPI 1801172010 · Physical Therapy Assistant · Green Bay, WI
Provider details
- NPI number
- 1801172010
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1802-019 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2305 San Luis Pl
Green Bay, WI 54304-5211
Phone: (920) 494-5231
Approximate (ZIP-level) locationGet directions
Mailing address
3235 W Point Rd
Green Bay, WI 54313-5219
Registry dates
- Enumerated
- 2011-11-01
- Last updated
- 2011-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.