NPI 1568131191

Jace Jordan Johnson, CPO

Practitioner Pedorthist Centerton, AR

Practice location

Address: 429 W Centerton Blvd, Centerton, AR 72719-8701
Phone: (918) 843-0713
Mailing address: 1484 Steele Rd, Tontitown, AR 72762-6249

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence OPP00271 (AR)

Other Pedorthist providers in Arkansas →

Registry record

NPI: 1568131191
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2021
Record last updated: 11 Sep 2025

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.