Individual
MR. RANDALL S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
105 MEADOW VIEW RD, SUITE 4, BRISTOL, TN 37620-1725
(423) 844-6935
(423) 844-6937
Mailing address
105 MEADOW VIEW RD, SUITE 4, BRISTOL, TN 37620-1725
(423) 844-6935
(423) 844-6937
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1349
TN
Other
Enumeration date
11/28/2006
Last updated
12/03/2010
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