| NPI | 1932413077 |
|---|---|
| Former Name | SHANTE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000392) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 181000392) |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 172P00000X Naprapath (Licence: NM 01013) | |
| 174400000X Specialist (Licence: IL 181000392) | |
| 174H00000X Health Educator | |
| 183500000X Pharmacist (Licence: IL 051292165) | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: IL 051292165) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051292165) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NM 01013) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NM 01013) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 181000392) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: IL 181000392) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 181000392) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 181000392) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2023-01-25 |