Individual
LESLIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 S GLOSTER ST STE C, TUPELO, MS 38801-6548
(669) 432-1523
(662) 432-1528
Mailing address
1211 S GLOSTER ST, TUPELO, MS 38801-6546
(662) 432-1523
(662) 432-1528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4574
MS
Other
Enumeration date
06/16/2014
Last updated
08/22/2025
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