Gary Russell Johnson in Woodville - Physical Therapist
Gary Russell Johnson - NPI 1285794107
Gary Russell Johnson is a Physical Therapist in Woodville, Mississippi. Gary Russell Johnson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gary Russell Johnson is 1285794107. The last update date is 2007-10-22.
Gary Russell Johnson's current location address is 558 1st South St, Woodville, Mississippi. You can contact this provider via phone number 6018887944 and fax number 6018884676. The mailing address for Gary Russell Johnson is 558 1st South St, Woodville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Russell Johnson |
|---|---|
| Address | 558 1st South St, Woodville, Mississippi |
| Phone Number | 6018887944 |
| Fax Number | 6018884676 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1285794107 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
| Address | 558 1st South St |
|---|---|
| City | Woodville |
| State | Mississippi (MS) |
| Post Code | 396693777 |
| Phone Number | 6018887944 |
| Fax Number | 6018884676 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT1639 |
|
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126497 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Russell Johnson?
The Gary Russell Johnson has been issued the NPI (National Provider Identifier) 1285794107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Gary Russell Johnson is located?
The Gary Russell Johnson is situated at the following address: 558 1St South St, Woodville, MS, 396693777.
What is the Gary Russell Johnson's specialty and taxonomy code?
The Gary Russell Johnson's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did Gary Russell Johnson receive its 1285794107 assignment from the Centers for Medicare & Medicaid Services?
The Gary Russell Johnson was assigned its 1285794107 on 2006-12-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Gary Russell Johnson last refreshed?
The information related to the Gary Russell Johnson, including its address, specialty, and other relevant details, was last updated on 2007-10-22.