Individual provider · Type 1 NPI

Grover Cleveland Johnson Iv

Physical Therapy Assistant · Jefferson City, MO

NPI number 1023759206 Active

Practice location

3600 Country Club Dr Ste 530A
Jefferson City, MO 65109-1060

Call (573) 606-7100 Map

Mailing address

7530 Enon Rd
Russellville, MO 65074-2602

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2018037368 (MO)

Physical Therapy Assistant: (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 Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1023759206

Grover Cleveland Johnson Iv's National Provider Identifier is 1023759206, issued on Apr 5, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jefferson City, MO. The record was last updated on Apr 5, 2022.