Liberty Johnson
Physical Medicine & Rehabilitation · Thief River Falls, MN
UnclaimedNPI 1922737246
- Primary taxonomy
- 208100000X
- Enumerated
- 2022-06-10
- Practice location
- Thief River Falls, MN
- Last NPPES update
- 2022-06-10
State licenses
- MN · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.