| Doctor Name: | TANYA D. JOHNSON |
| NPI Number: | 1326234154 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT1480 |
| Business Practice Address: | 704 W Grove St Suite 5 El Dorado, AR - 717304416 |
| Business Phone Number: | 8708621144 |
| Business Fax Number: | 8708640782 |
| Mailing Address: | 1945 Scottsville Rd, B2, Pmb 356 BOWLING GREEN |
| State: | KY |
| Postal Code: | 421043376 |
| Phone Number: | 2708428824 |
| Fax Number: | 2708427917 |
| NPI Enumeration Date: | 09/14/2007 |
| NPI Last Update Date: | 09/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT1480 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |