IndividualActive
Michael Johnson
NPI 1669345229 · Geriatric Physical Therapist · Marietta, GA
Provider details
- NPI number
- 1669345229
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT-012632 (GA)
Mailing address
1890 O Shea Ln
Marietta, GA 30062-5438
Registry dates
- Enumerated
- 2025-09-29
- Last updated
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.