Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Douglas Johnson

Individual provider Physical Therapist · NPI 1174148308

Bryan Douglas Johnson is a Physical Therapist in Duluth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020

Practice location Address checks out

2501 Rice Lake Rd
Duluth, MN 55811-4819
Phone: (864) 513-6864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11824 (MN)

Record details

NPI number1174148308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing addressPo Box 4, Esko, MN 55733-0004

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