Katherine Johnson I, PTA

Physical Therapy Assistant · Fairview Heights, IL

Individual Active NPI

NPI number 1033463393

Practice location

320 N Ruby Ln
Fairview Heights, IL 62208
Phone
(618) 394-9798

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NPI record

NPI
1033463393
Entity type
Individual (Type 1)
Enumeration date
November 7, 2012
Last updated
November 7, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160001794 IL

About Katherine Johnson

Katherine Johnson I, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 320 N Ruby Ln, Fairview Heights, IL 62208. The NPI number 1033463393 was assigned on November 7, 2012 and the record was last updated on November 7, 2012.

Katherine Johnson lists a license in the registry: #160001794 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katherine Johnson I, PTA?

The NPI number is 1033463393.

What is the phone number of Katherine Johnson?

The phone number listed for the practice location is (618) 394-9798.

Where is Katherine Johnson located?

320 N Ruby Ln, Fairview Heights, IL 62208.

What is the taxonomy code for Katherine Johnson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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