Organization
BOSSI,LLC
Active
Other names
BodyOne Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH CLARK JOHNSON P.T. (OWNER)
(317) 581-1890
Entity
Organization
Contact information
Practice address
7855 S EMERSON AVE, STE W, INDIANAPOLIS, IN 46237-8668
(317) 581-1890
(317) 581-2436
Mailing address
9102 N MERIDIAN ST, STE 415, INDIANAPOLIS, IN 46260-1860
(317) 581-1890
(317) 581-2436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005624A
IN
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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