Kaitlyn Johnston, LMT

NPI #1982171211 in Bohemia, New York

Provider Information

NPI Number: 1982171211
Entity Type: Individual
Name: Kaitlyn Johnston, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: LMT
Enumeration Date: Oct 24, 2018
Last Updated: Oct 24, 2018

Practice Location

Address: 51 ISLAND BLVD APT D
City: Bohemia
State: New York
ZIP Code: 11716-4929
Phone: (631) 402-4508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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