Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY JOHNSON
Active Sole ProprietorGerontology Occupational Therapist · BLOSSOM, TX
Registration Details
- NPI Number
- 1912757287
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2024 (2.0694114415725 yrs)
- Last Updated
- Mar 27, 2024
- License
-
108288 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5107 US HIGHWAY 82 EBLOSSOM, TX, 754164161Browse TX providers · Browse ZIP 75416
- Phone
- 9037039483
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
- Additional Specialty
- Gerontology Occupational Therapist
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.