Jared Johnston

NPI 1104434604 · on the registry since 2020

Practice

Address: 502 W Saint Louis St
West Frankfort, IL 62896
Phone: (618) 932-8902
Organisation at this address: Rci, (Wrs, Inc.)
Freds Stores Of Tennessee Inc
Southern Illinois Medical Services, Nfp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois