Individual
JEANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
75 RIVER BIRCH LOOP, SMITHS GROVE, KY 42171-7310
(270) 535-1414
Mailing address
275 NEW TOWNE RD APT 104, BOWLING GREEN, KY 42103-7997
(252) 903-6375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000925
KY
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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