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Individual

LEIGH JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2607 MAIN ST, BENTON, KY 42025-7601
(270) 527-3296
Mailing address
816 BACKUSBURG RD, KIRKSEY, KY 42054-9206
(270) 556-5469

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02992
KY

Other

Enumeration date
10/02/2021
Last updated
10/02/2021
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