Doctor Name: | SHANNON JOHNSON |
NPI Number: | 1104931435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5181 |
Business Practice Address: | 705 Se Main St Simpsonville, SC - 296813237 |
Business Phone Number: | 8649673082 |
Business Fax Number: | 8649673083 |
Mailing Address: | 24 Cog Hill Dr, SIMPSONVILLE |
State: | SC |
Postal Code: | 296816307 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |