Individual
HALEY TERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
39 FERNDALE APARTMENTS RD, PINEVILLE, KY 40977-8578
(606) 337-7071
Mailing address
433 BAILEY CREEK RD, EVARTS, KY 40828-6410
(606) 273-6090
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A04264
KY
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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