Individual
KENDALL ODELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1024 BEECH TREE LN, BRENTWOOD, TN 37027-7642
(615) 497-3993
Mailing address
1024 BEECH TREE LN, BRENTWOOD, TN 37027-7642
(615) 497-3993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000004302
TN
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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