Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY RUSSELL JOHNSON, PT
ActiveMR. GARY RUSSELL JOHNSON, PT is a Physical Therapy Assistant healthcare provider located in WOODVILLE, Mississippi. NPI 1285794107 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WOODVILLE, MS
Registration Details
- NPI Number
- 1285794107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2006 (19.492952806033 yrs)
- Last Updated
- Oct 22, 2007
- License
-
PT1639 (MS)
Practice Information
- Address
-
558 1ST SOUTH STWOODVILLE, MS, 396693777Browse MS providers · Browse ZIP 39669
- Phone
- 6018887944
- Fax
- 6018884676
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WOODVILLE, MS
| Name | Credential | NPI |
|---|---|---|
| VIRGINIA LEWIS | D.P.T. | 1659650802 |
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.