Candice Suzanne Johnston, PTA
Individual provider Active NPI Physical Therapy Assistant · Waynesboro, TN
NPI 1730589409 · NPPES record last updated Aug 29, 2014
Key facts
- NPI
- 1730589409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5727 (TN)
- Practice address
- 514 S High St
Waynesboro, TN 38485-2615 - Phone
- (931) 722-2778
- Fax
- (931) 722-7569
- NPI assigned
- Aug 29, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonnys Place of Waynesboro | Past |
Accepting new patients | |
| Prestige Physical Therapy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5727 | TN | Yes |
Addresses
Primary practice location
514 S High St
Waynesboro, TN 38485-2615
Mailing address
PO Box 450
Waynesboro, TN 38485-0450
Phone (931) 722-2778
Other names
- Candice Suzanne Meek
Other providers in Waynesboro, TN
- Elizabeth Humphrey
- Jerry M Duren
- Joe I Hall MD PC
- Robert R. Johannes
- Carol Johnson
- Judy Lynn Jones
- Barbara Jordahl
- Joseph B Tarpy
- Judy L. Jones, Family Nurse Practitioner, LLC
- Miranda Kapsalis
All providers in Waynesboro, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.