Individual
JACOB HUNTER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
7555 BARNETT WAY, POWELL, TN 37849-3565
(865) 938-3556
(865) 938-3558
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10088
TN
225X00000X
Occupational Therapist
15590
FL
225X00000X
Occupational Therapist
4979
TN
Other
Enumeration date
04/08/2014
Last updated
05/29/2014
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