Doctor Name: | ASHLEY N JOHNSON |
NPI Number: | 1699177386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | T14018 |
Business Practice Address: | 105 Robins Way Suite 201b Russellville, KY - 422761129 |
Business Phone Number: | 2707266640 |
Business Fax Number: | 2707266674 |
Mailing Address: | Po Box 51246, BOWLING GREEN |
State: | KY |
Postal Code: | 421025546 |
Phone Number: | 2707266640 |
Fax Number: | 2707266674 |
NPI Enumeration Date: | 09/24/2014 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | T14018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |