Misty Johnson, PT

NPI #1124428743 in Tyler, Texas

Provider Information

NPI Number: 1124428743
Entity Type: Individual
Name: Misty Johnson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 2, 2014
Last Updated: Sep 2, 2014

Practice Location

Address: 3200 TROUP HWY STE 120
City: Tyler
State: Texas
ZIP Code: 75701-8364
Phone: (903) 705-4702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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