Individual
SAMANTHA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 415-8111
Mailing address
17330 BIGLEAF MAPLE BLVD APT 1337, WESTFIELD, IN 46074-6022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015569A
IN
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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