Individual provider · Type 1 NPI

Miranda Johnson, PTA

Physical Therapy Assistant · Sedalia, MO

NPI number 1992086326 Active

Practice location

25023 Bothwell Park Rd
Sedalia, MO 65301-0084

Mailing address

PO Box 563
Stover, MO 65078-0563

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2011011359 (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 1992086326

Miranda Johnson, PTA's National Provider Identifier is 1992086326, issued on Aug 30, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sedalia, MO. The record was last updated on Aug 30, 2011.