Charles Michael Johnston, PT

NPI #1144778234 in Tyler, Texas

Provider Information

NPI Number: 1144778234
Entity Type: Individual
Name: Charles Michael Johnston, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 17, 2016
Last Updated: Sep 17, 2016

Practice Location

Address: 100 E FERGUSON ST
Address 2: SUITE 1204
City: Tyler
State: Texas
ZIP Code: 75702-5759
Phone: (903) 509-2040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Geriatrics — Geriatrics	2251G0304X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X

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