Individual
DR. JENNIFER JO KOSTIK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
112 WALNUT LN, SUITE 10, WEST NEWTON, PA 15089-1170
(724) 872-0356
(724) 872-6051
Mailing address
127 SHULTZ ST, CONNELLSVILLE, PA 15425-2220
(724) 277-2365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT017304L
PA
2255A2300X
Athletic Trainer
Primary
RT003595
PA
Other
Enumeration date
06/15/2006
Last updated
09/11/2025
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