Individual
MICHAEL L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
29 W MCNEIL, SHOW LOW, AZ 85901-5838
(928) 537-8196
Mailing address
PO BOX 1420, SHOW LOW, AZ 85902-1420
(928) 537-8196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1839
AZ
Other
Enumeration date
07/07/2006
Last updated
08/18/2016
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