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

Latasha Johnson

Individual provider Rehabilitation Practitioner · NPI 1922422005

Latasha Johnson is a Rehabilitation Practitioner in Grand Rapids, Michigan. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

4218 Burton St SE
Grand Rapids, MI 49546-6121
Phone: (616) 726-1985
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1922422005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2014
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address4218 Burton St Se, Grand Rapids, MI 49546-6121

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