MR. Randy Shane Johnson, MSPT

NPI #1346319456 in Clinton, Missouri

Provider Information

NPI Number: 1346319456
Entity Type: Individual
Name: MR. Randy Shane Johnson, MSPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1600 N 2ND ST
City: Clinton
State: Missouri
ZIP Code: 64735-1192
Phone: (660) 890-7190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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