Shannon Marie Johnson, PTA, BS

NPI #1154844942 in Warsaw, Indiana

Provider Information

NPI Number: 1154844942
Entity Type: Individual
Name: Shannon Marie Johnson, PTA, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, BS
Enumeration Date: Jul 24, 2017
Last Updated: Jul 24, 2017

Practice Location

Address: 2304 DUBOIS DR
City: Warsaw
State: Indiana
ZIP Code: 46580-3213
Phone: (574) 267-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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