Search › Tennessee › 133N00000X
Samuel Johnson, CPT, PN1, BCS, CES
NPI 1669193116 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5720 Stone Brook Dr
Brentwood, TN 37027 - Phone
- (615) 972-3862
Registry record
- Primary taxonomy
- 133N00000X
133N00000X
- Also registered as
- 171400000X
174H00000X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-02
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 Tennessee