Izzal Johnson, LMT

NPI 1659126662 · on the registry since 2024 · sole proprietor

Practice

Address: 23300 Greenfield Rd
Oak Park, MI 48237
Phone: (734) 819-4023
Organisation at this address: Kts Hair And Wig Llc
Moe Transportation Llc
Palms Physical Therapy
Total One Resources Inc
Victory Physical Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-04-22

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 Michigan