| Doctor Name: | MRS. ELESA ANN JOHNSON |
| NPI Number: | 1053555847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT870767 |
| Business Practice Address: | 550 Pope Ave Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton) Fort Leavenworth, KS - 660272332 |
| Business Phone Number: | 9136846562 |
| Business Fax Number: | 9136846208 |
| Mailing Address: | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton) FORT LEAVENWORTH |
| State: | KS |
| Postal Code: | 660272332 |
| Phone Number: | 9136846562 |
| Fax Number: | 9136846208 |
| NPI Enumeration Date: | 04/24/2009 |
| NPI Last Update Date: | 04/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT870767 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |