Individual provider · Type 1 NPI

Latasha Johnson

Rehabilitation Practitioner · Grand Rapids, MI

NPI number 1922422005 Active

Practice location

4218 Burton St SE
Grand Rapids, MI 49546-6121

Call (616) 726-1985 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1922422005

Latasha Johnson's National Provider Identifier is 1922422005, issued on Feb 10, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 21, 2026.