Individual
MCKAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
234 SPRINGSIDE CIR, ANDERSON, SC 29625-5453
(864) 221-8620
Mailing address
234 SPRINGSIDE CIR, ANDERSON, SC 29625-5453
(864) 221-8620
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4324
SC
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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