Johnson, Thomas L

Johnson, Thomas L is an individual health care provider with primary practice located at 24 Physicians Dr , Jackson TN 38305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Thomas L can be contacted via phone (731) 661-9825.

Contact Information

Primary practice address
24 Physicians Dr Jackson TN 38305
Phone: (731) 661-9825
Fax: (731) 668-6757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1726 Tennessee

Profile Details

NPI number 1629135264
LBN Legal business name Johnson, Thomas L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629135264 NPPES
Tennessee MEDICAID 3375781

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