Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY DIANE JOHNSON TMD OUTLET
Active OrganizationMARY DIANE JOHNSON TMD OUTLET is a Physical Therapist organization located in LEBANON, Missouri. NPI 1649389388 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist · LEBANON, MO
Registration Details
- NPI Number
- 1649389388
- Provider Type
- Organization
- NPI Issued
- Aug 29, 2006 (19.975475212946 yrs)
- Last Updated
- Jun 16, 2008
Practice Information
- Address
-
702 S MONROELEBANON, MO, 655363570Browse MO providers · Browse ZIP 65536
- Phone
- 4175883404
- Fax
- 4175883404
- Primary Specialty
-
Physical Therapist
225000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.