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Individual

AMY LEIGH ANNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT DPT

Contact information

Practice address
3925 MAYNARDVILLE HWY STE 1, MAYNARDVILLE, TN 37807-3552
(865) 333-4673
Mailing address
3925 MAYNARDVILLE HWY STE 1, MAYNARDVILLE, TN 37807-3552
(865) 588-6358
(865) 909-9949

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12741
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12741
DEPARTMENT OF HEALTH BOARD OF PHYSICAL THERAPY
TN
Enumeration date
02/13/2020
Last updated
04/27/2026
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