Provider Demographics
NPI:1336430164
Name:JOHNS, KARI JO (DPT)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:JO
Last Name:JOHNS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTEER
Mailing Address - State:IA
Mailing Address - Zip Code:50115
Mailing Address - Country:US
Mailing Address - Phone:641-332-3810
Mailing Address - Fax:641-332-3809
Practice Address - Street 1:312 N FREMONT ST
Practice Address - Street 2:SUITE B
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250
Practice Address - Country:US
Practice Address - Phone:515-645-3350
Practice Address - Fax:515-224-2907
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03939225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist