IndividualActive
Kimberly Johnson, OTR
NPI 1740302348 · Driving and Community Mobility Occupational Therapist · Bristol, TN
Provider details
- NPI number
- 1740302348
- Entity type
- Individual
- Primary specialty
- Driving and Community Mobility Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 1484 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-4116
Approximate (ZIP-level) locationGet directions
Mailing address
3916 Lake Valley Ct
Kingsport, TN 37664-5197
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.