Individual
KATHLEEN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
COUNTY OF MONTGOMERY SCHOOL DIST R 11, 418 N HIGHWAY 19, MONTGOMERY CITY, MO 63361-5217
(573) 564-2278
(573) 564-6182
Mailing address
418 N HIGHWAY 19, MONTGOMERY CITY, MO 63361-5217
(573) 564-2278
(573) 564-6182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
486759319
—
MO
Enumeration date
02/22/2007
Last updated
02/19/2009
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