NPI 1073755054
Jessica Rose Johnson
Practice location
- Address
- 3400 W Community Dr, Muncie, IN 47304-5459
- Phone
- (765) 286-9200
- Mailing address
- 2862 S Butternut Creek Dr, Portland, IN 47371-8739
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1073755054
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Apr 2009
- Record last updated
- 6 Apr 2009
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.