# JBJT SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699212688
- **Authorized official:** MR. JEREME BRIAN JOHNSON DPT (OWNER)
- **Authorized official phone:** (318) 312-1773

## Contact information

- **Practice address:** 304 E REYNOLDS DR, RUSTON, LA 71270-2817
- **Practice address phone:** (318) 224-9148
- **Practice address fax:** (318) 314-2059
- **Mailing address:** 169 BEAR CREEK RD, RUSTON, LA 71270-1640
- **Mailing address phone:** (318) 312-1773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 08028 | LA | Yes |

## Other

- **Enumeration date:** 01/27/2017
- **Last updated:** 09/27/2023
