Provider Demographics
NPI:1013047489
Name:JOHNSTON, KRISTI VOSS (PT)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:VOSS
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5486 RIVER FOREST RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8691
Mailing Address - Country:US
Mailing Address - Phone:614-889-8204
Mailing Address - Fax:614-889-8204
Practice Address - Street 1:7277 SMITHS MILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8195
Practice Address - Country:US
Practice Address - Phone:614-855-8030
Practice Address - Fax:614-855-8304
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1264225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist