Individual
STEPHANIE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2152 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-1622
(502) 499-0107
(502) 499-0535
Mailing address
2152 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-1622
(502) 499-0107
(502) 499-0535
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
005285
KY
2251X0800X
Orthopedic Physical Therapist
05013704A
IN
Other
Enumeration date
06/06/2008
Last updated
06/09/2020
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