NPI 1285958702
Katisha Johnson
Practice location
- Address
- 14526 S Hoxie Ave, Burnham, IL 60633-2214
- Phone
- (773) 443-3492
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1285958702
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Mar 2010
- Record last updated
- 26 Mar 2010
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.