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General NPI Number Information
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NPI Number | 1174797377
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Entity Type | Individual
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Provider Name | KRISTI JOHNSON PT
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 9893 HIGHWAY 104
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City | FAIRHOPE
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State | AL
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Zip | 36532
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Country | US
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Telephone | 251-850-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 2823 GREYSTONE COMMERCIAL BLVD
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City | HOOVER
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State | AL
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Zip | 35242-2660
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Country | US
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Telephone | 205-745-3660
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4210
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH11300
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License Number State | AL
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