Individual
BILLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
140 TECHNOLOGY LN, JOHNSON CITY, TN 37604-2004
(423) 979-0714
Mailing address
140 TECHNOLOGY LN, JOHNSON CITY, TN 37604-2004
(423) 979-0714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4739
TN
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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