MS. Kellie Renae Johnson, PTA

NPI #1750632089 in Topeka, Kansas

Provider Information

NPI Number: 1750632089
Entity Type: Individual
Name: MS. Kellie Renae Johnson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: Sep 26, 2012
Last Updated: Sep 26, 2012

Practice Location

Address: 1315 SW 6TH AVE STE B
City: Topeka
State: Kansas
ZIP Code: 66606-1582
Phone: (785) 233-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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