IndividualActive
Mia Johnson
NPI 1730729344 · Kinesiotherapist · Tracy, CA
Provider details
- NPI number
- 1730729344
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
3811 Lanyard Dr
Stockton, CA 95206-4958
Registry dates
- Enumerated
- 2020-01-11
- Last updated
- 2020-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.