Individual
KIRSTEN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
206 HOSPITAL LN, PERRYVILLE, MO 63775-1276
(573) 768-3349
Mailing address
206 HOSPITAL LN, PERRYVILLE, MO 63775-1276
(573) 768-3349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015002049
MO
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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