Heather Johnson, PTA

NPI #1902142169 in Warsaw, Kentucky

Provider Information

NPI Number: 1902142169
Entity Type: Individual
Name: Heather Johnson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 17, 2012
Last Updated: Dec 17, 2012

Practice Location

Address: 499 CENTER AVE
City: Warsaw
State: Kentucky
ZIP Code: 41095-9754
Phone: (859) 567-1347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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