Grover Cleveland Johnson IV
Grover Cleveland Johnson IV is a Physical Therapy Assistant in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2022.
- Licensed in
- MO
- In the registry since
- 2022
Practice location Address checks out
3600 Country Club Dr Ste 530AJefferson City, MO 65109-1060
Phone: (573) 606-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2018037368 (MO) |
|---|
Record details
| NPI number | 1023759206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | March 30, 2022 |
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Kimberly Goff, PTA
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Keith Heidbreder, PTA
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Kelly Hinde, PTA
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Michaela Rose Kever
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-
Megan Marie Lewis, PTA
3600 Country Club Dr Ste 530B, Jefferson City, MO 65109-1060 · (573) 606-7100
-
Deborah Sue Luebbert
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Leslie Ann E Lueckenhoff, PTAATC
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