Individual
MARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1215 21ST AVE S STE 3312, 3200 MEDICAL CENTER EAST - SOUTH TOWER, NASHVILLE, TN 37232-0014
(615) 343-1207
Mailing address
1404 5TH AVE N, NASHVILLE, TN 37208-2728
(615) 752-6761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7905
TN
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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