Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY A JOHNSON, LCPO
Active Sole ProprietorMR. JEFFREY A JOHNSON, LCPO is a Physical Therapist Assistant healthcare provider located in WALLA WALLA, Washington. NPI 1114914702 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · WALLA WALLA, WA
Registration Details
- NPI Number
- 1114914702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.893952257576 yrs)
- Last Updated
- Jul 10, 2008
- License
-
PS00000038 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
919 W MAIN STWALLA WALLA, WA, 993622746Browse WA providers · Browse ZIP 99362
- Phone
- 5095258322
- Fax
- 5092522982
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.