Individual
CHAZ CALEB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
139 N BELT HWY STE N, SAINT JOSEPH, MO 64506-3445
(816) 232-1137
(816) 232-1331
Mailing address
PO BOX 217297, KANSAS CITY, MO 64121-9297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
093145
IA
225100000X
Physical Therapist
Primary
2019001117
MO
225100000X
Physical Therapist
3888
NE
Other
Enumeration date
10/22/2018
Last updated
08/17/2022
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