Individual
KIMBERLY DIANNE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1018 HIGHWAY 321 N, LENOIR CITY, TN 37771-6683
(865) 986-5644
(865) 986-9109
Mailing address
325 RIVERS EDGE DR, LOUDON, TN 37774-5958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6587
TN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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