Jeremy Johnson, PTA

NPI #1306384524 in Cave City, Arkansas

Provider Information

NPI Number: 1306384524
Entity Type: Individual
Name: Jeremy Johnson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 8, 2017
Last Updated: Feb 8, 2017

Practice Location

Address: 653 GOLDEN TRL
City: Cave City
State: Arkansas
ZIP Code: 72521-9432
Phone: (870) 219-6598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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