Individual
MELISSA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1640 HIGHWAY Y, O FALLON, MO 63366-5109
(314) 283-0735
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 381-0822
(352) 565-5201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005040573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114090792
GROUP NPI
MO
05
—
487441206
—
MO
05
—
507265809
—
MO
Enumeration date
01/30/2007
Last updated
10/28/2025
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