Doctor Name: | MRS. SHARA L JOHNSON |
NPI Number: | 1629277504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 11-02905 |
Business Practice Address: | 210 West 1st Street Saint Francis, KS - 67756 |
Business Phone Number: | 7853322104 |
Business Fax Number: | 7853322673 |
Mailing Address: | 210 West 1st Street, SAINT FRANCIS |
State: | KS |
Postal Code: | 67756 |
Phone Number: | 7853322104 |
Fax Number: | 7853322673 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-02905 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |