Individual
RUSSELL C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7750 DANNAHER DR, POWELL, TN 37849-4039
(865) 512-1140
(865) 512-1141
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7226
TN
225100000X
Physical Therapist
PT014283
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4110845
BLUE CROSS BLUE SHIELD
TN
01
—
8660463
CIGNA
TN
01
—
9985704
AETNA
—
Enumeration date
04/10/2006
Last updated
01/14/2026
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