Individual provider · Type 1 NPI

Kristen Johnston

Developmental Therapist · Russellville, AR

NPI number 1306480645 Active

Practice location

1301 Russell Rd
Russellville, AR 72802-4320

Call (479) 967-2316 Map

Fax (479) 967-3639

Mailing address

PO Box 2109
Russellville, AR 72811-2109

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1306480645

Kristen Johnston's National Provider Identifier is 1306480645, issued on Oct 30, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Russellville, AR. The record was last updated on Oct 30, 2019.