NPI 1124582051

Myles Alexander Johnson, EPC

Practitioner Clinical Exercise Physiologist Richmond, VA

Practice location

Address: 3600 W Broad St, Richmond, VA 23230-4915
Phone: (804) 585-6723
Mailing address: 11420 Sethwarner Dr, Glen Allen, VA 23059-4802

Registered specialties (2)

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Health Educator

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1124582051
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2019
Record last updated: 24 Jan 2019

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.