IndividualActive
Kimberly Johnson
NPI 1912757287 · Gerontology Occupational Therapist · Blossom, TX
Provider details
- NPI number
- 1912757287
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5107 US Highway 82 E
Blossom, TX 75416-4161
Phone: (903) 703-9483
Approximate (ZIP-level) locationGet directions
Mailing address
5107 US Highway 82 E
Blossom, TX 75416-4161
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2024-03-27
- Certified
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.