Individual
MR. KEITH JOHNSON
Active
Individual
MR. KEITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 8230
TN
225100000X
Physical Therapist
Primary
PT1729
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133568721
—
AR
Enumeration date
12/28/2006
Last updated
04/30/2018
Update your record
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