| NPI | 1518271717 |
|---|---|
| Former Name | KATIE ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21923) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP015235T) |
| 225100000X Physical Therapist (Licence: VA 2305206580) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2025-12-23 |