Individual
MICHAEL RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
19049 E VALLEY VIEW PKWY, STE H, INDEPENDENCE, MO 64055-6999
(816) 795-8944
(816) 795-8633
Mailing address
19049 E VALLEY VIEW PKWY, STE H, INDEPENDENCE, MO 64055-6999
(816) 795-8944
(816) 795-8633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001009687
MO
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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