Individual
MRS. KIMBERLY ERIN JOHNSON
Active
Individual
MRS. KIMBERLY ERIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01895
RI
225100000X
Physical Therapist
Primary
PT011319
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080001895RI01
ANTHEM
RI
01
—
1133771
AETNA
—
01
—
29777
NEIGHBORHOOD HEALTH
RI
01
—
297789
BCBS
RI
01
—
412111
BLUE CHIP
RI
01
—
709003312
MEDICARE PTAN
—
01
—
PT011319
PHYSICAL THERAPIST
GA
Enumeration date
04/05/2006
Last updated
11/27/2013
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