Loagan Mackenzie Johnson, PT, DPT

NPI #1063036242 in Byram, Mississippi

Provider Information

NPI Number: 1063036242
Entity Type: Individual
Name: Loagan Mackenzie Johnson, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jun 3, 2020
Last Updated: Jun 3, 2020

Practice Location

Address: 7213 S SIWELL RD STE A
City: Byram
State: Mississippi
ZIP Code: 39272-9776
Phone: (601) 346-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation	208100000X
Physical Therapist	225100000X	Primary

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