Randy Shane Johnson, MSPT

Physical Therapist · Clinton, MO

Individual Active NPI

NPI number 1346319456

Practice location

1600 N 2ND St
Clinton, MO 64735-1192
Phone
(660) 890-7190

Open in Google Maps

NPI record

NPI
1346319456
Entity type
Individual (Type 1)
Enumeration date
November 6, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 2005010779 MO

About Randy Johnson

Randy Shane Johnson, MSPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1600 N 2ND St, Clinton, MO 64735-1192. The NPI number 1346319456 was assigned on November 6, 2006 and the record was last updated on July 8, 2007.

Randy Johnson lists a license in the registry: #2005010779 (MO) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randy Shane Johnson, MSPT?

The NPI number is 1346319456.

What is the phone number of Randy Johnson?

The phone number listed for the practice location is (660) 890-7190.

Where is Randy Johnson located?

1600 N 2ND St, Clinton, MO 64735-1192.

What is the taxonomy code for Randy Johnson?

The primary taxonomy code is 225100000X – Physical Therapist.

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.

Other Physical Therapist providers in Clinton

All Physical Therapist providers in Clinton, MO →