Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn Phelps Johnson Jr.

Individual provider Rehabilitation Practitioner · NPI 1710249255

Glenn Phelps Johnson Jr. is a Rehabilitation Practitioner in Woodland, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

137 N Cottonwood St Ste 1530
Woodland, CA 95695-6646
Phone: (530) 666-9546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1710249255
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2012
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

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