Kalissa J Johnson in Vincennes - Physical Therapy Assistant
Kalissa J Johnson - NPI 1376739318
Kalissa J Johnson is a Physical Therapy Assistant in Vincennes, Indiana. Kalissa J Johnson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kalissa J Johnson is 1376739318. The last update date is 2007-09-24.
Kalissa J Johnson's current location address is 2121 Willow St, Vincennes, Indiana. You can contact this provider via phone number 8128821141 and fax number 8122550045. The mailing address for Kalissa J Johnson is 2121 Willow St, Vincennes, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kalissa J Johnson |
|---|---|
| Address | 2121 Willow St, Vincennes, Indiana |
| Phone Number | 8128821141 |
| Fax Number | 8122550045 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1376739318 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 2121 Willow St |
|---|---|
| City | Vincennes |
| State | Indiana (IN) |
| Post Code | 475915355 |
| Phone Number | 8128821141 |
| Fax Number | 8122550045 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 06002492A |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the Kalissa J Johnson's unique identification number?
The Kalissa J Johnson has been assigned the NPI (National Provider Identifier) Number 1376739318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kalissa J Johnson located?
The Kalissa J Johnson is located at 2121 Willow St, Vincennes, IN 475915355.
What is the Kalissa J Johnson's area of specialization and corresponding taxonomy classification?
The Kalissa J Johnson's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.
On what date did the Kalissa J Johnson receive its 1376739318 assignment from the Centers for Medicare & Medicaid Services?
The Kalissa J Johnson was assigned its 1376739318 by the Centers for Medicare & Medicaid Services on 2007-09-24.
When was the information related to Kalissa J Johnson most recently updated or refreshed?
The details pertaining to the Kalissa J Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-24.
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