NPI 1093113763
Katie Johnson
Practice location
- Address
- 4419 W Pecan St, Fayetteville, AR 72704-7909
- Phone
- (870) 688-1308
Registered specialties
Speech-Language Assistant
Primary
Registry record
- NPI
- 1093113763
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Dec 2014
- Record last updated
- 12 Dec 2014
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.