Individual
HEATHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
499 CENTER AVE, WARSAW, KY 41095-9754
(859) 567-1347
(859) 567-1364
Mailing address
499 CENTER AVE, WARSAW, KY 41095-9754
(859) 567-1347
(859) 567-1364
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01217
KY
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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