NPI 1154844942

Shannon Marie Johnson, PTABS

Practitioner Physical Therapy Assistant Warsaw, IN

Practice location

Address: 2304 Dubois Dr, Warsaw, IN 46580-3213
Phone: (574) 267-3500

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06005493A (IN)

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Registry record

NPI: 1154844942
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2017
Record last updated: 24 Jul 2017

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.