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Organization
TERESA B JOHNSTON
Active
Organization
TERESA B JOHNSTON
Active
Other names
Foothills Physical Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
RODRIGO JOHNSTON (ADMINISTRATOR)
(865) 776-3247
Entity
Organization
Contact information
Practice address
4011 CHAPMAN HWY, SUITE J, KNOXVILLE, TN 37920-4267
(865) 573-6458
(865) 577-8147
Mailing address
450 JEFFERSON LN, CLINTON, TN 37716-5741
(865) 776-3247
(865) 577-8147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3654750
—
TN
01
—
5532081
AETNA PPO PROVIDER ID
TN
01
—
960130
AETNA PROVIDER ID HMO
TN
Enumeration date
05/05/2006
Last updated
12/23/2022
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