RANDY SHANE JOHNSON

CLINTON, MO
NPI1346319456
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2005010779)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
Mr. RANDY SHANE JOHNSON MSPT
1600 N 2ND ST
CLINTON, MO 64735-1192
Phone number: 660-890-7190
Mailing Address
Mr. RANDY SHANE JOHNSON MSPT
1600 N 2ND ST
CLINTON, MO 64735-1192
Phone number: 660-890-7190