Individual
GARRISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 N MULBERRY RD, DERBY, KS 67037-3532
(316) 202-0996
(316) 202-0997
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04308
KS
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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