Individual
MRS. LESLIE LYNELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8121 E HIGHWAY 69, KANSAS CITY, MO 64119-3186
(816) 414-5808
(816) 414-5810
Mailing address
PO BOX 11009, KANSAS CITY, MO 64119-0009
(816) 414-5808
(816) 414-5810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1186
MO
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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