Melissa Jill Johnson, PT, ATC, CSCS

NPI #1134167216 in Suwanee, Georgia

Provider Information

NPI Number: 1134167216
Entity Type: Individual
Name: Melissa Jill Johnson, PT, ATC, CSCS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, ATC, CSCS
Enumeration Date: Jun 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6920 MCGINNIS FERRY RD
Address 2: SUITE 320
City: Suwanee
State: Georgia
ZIP Code: 30024-1258
Phone: (770) 495-0610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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