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Shannon Johnson, PTA
NPI 1255858890 · on the registry since 2017 · sole proprietor
Practice
- Address
- 12600 N Port Washington Rd
Mequon, WI 53092 - Phone
- (262) 387-8800
- Organisation at this address
- Newcastle Place Llc
Newcastle Place Llc
Newcastle Place, Inc.
Newcastle Senior Care, Llc
Newcastle Place Inc PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-13
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 Wisconsin