Individual
TAMMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3730 N RIDGE RD STE 500, WICHITA, KS 67205-1233
(316) 440-4901
(316) 440-4904
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
14-04367
KS
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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