Individual
GREGORY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 W 4TH AVE, BRISTOW, OK 74010-2823
(918) 771-3830
(918) 771-3835
Mailing address
PO BOX 707001, TULSA, OK 74170-7001
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/18/2026
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