IndividualActive
Angela Johnson
NPI 1992811103 · Physical Therapy Assistant · Blytheville, AR
Provider details
- NPI number
- 1992811103
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PTA 1918 (AR)
Practice location
4407 Amarillo St
Blytheville, AR 72315-5702
Phone: (870) 532-2229
Fax: (870) 532-8237
Mailing address
1658 Ecr 54
Gosnell, AR 72315
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.