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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY JOHNSON

Active Sole Proprietor

KIMBERLY JOHNSON is a Gerontology Occupational Therapist healthcare provider located in BLOSSOM, Texas. NPI 1912757287 is currently active in the NPPES registry. Verify at CMS.

Gerontology Occupational Therapist · BLOSSOM, TX

Registration Details

NPI Number
1912757287
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2024 (2.3949021657491 yrs)
Last Updated
Mar 27, 2024
License
108288 (TX)
Sole Proprietor
Yes

Practice Information

Address
5107 US HIGHWAY 82 E
BLOSSOM, TX, 754164161
Browse TX providers · Browse ZIP 75416
Phone
9037039483
Primary Specialty
Gerontology Occupational Therapist
225XG0600X
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.