Doctor Name: | MERLIN A JOHNSON |
NPI Number: | 1295776318 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1766 |
Business Practice Address: | 1355 W Rogers Blvd Suite 10 Skiatook, OK - 740704204 |
Business Phone Number: | 9183967125 |
Business Fax Number: | 9183967186 |
Mailing Address: | 2416 Highway 45 N, COLUMBUS |
State: | MS |
Postal Code: | 397051320 |
Phone Number: | 6623276705 |
Fax Number: | 6623276760 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |