Kaelin Danae Johnson, PTA

NPI #1942964002 in Talihina, Oklahoma

Provider Information

NPI Number: 1942964002
Entity Type: Individual
Name: Kaelin Danae Johnson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 26, 2021
Last Updated: Oct 26, 2021

Practice Location

Address: 1 CHOCTAW WAY
City: Talihina
State: Oklahoma
ZIP Code: 74571-2022
Phone: (918) 567-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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