NPI 1003254624

Kiley Johnson

Practitioner Developmental Therapist Dixon, IL

Practice location

Address: 500 Anchor Rd, Dixon, IL 61021-8829
Phone: (815) 288-6691

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1003254624
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2013
Record last updated: 5 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.