Provider Demographics
NPI:1124362892
Name:JOHNSON, KAREN PATTERSON (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:PATTERSON
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 TELEPHONE EXCHANGE RD
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-6601
Mailing Address - Country:US
Mailing Address - Phone:828-495-7435
Mailing Address - Fax:
Practice Address - Street 1:318 TELEPHONE EXCHANGE RD
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6601
Practice Address - Country:US
Practice Address - Phone:828-495-7435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC496225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant