Johnie Ray Staton III, PT

NPI #1114665528 in Greenwood, Indiana

Provider Information

NPI Number
1114665528
Entity Type
Individual
Name
Johnie Ray Staton III, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
May 25, 2022
Last Updated
May 25, 2022

Practice Location

Address
2091 RIDGEMERE WAY
State
Indiana
ZIP Code
46143-9288
Phone
(317) 887-1600

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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