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Mr. Greg Anthony Johnson, CO,BOCP
Orthotist in Joplin, Missouri
NPI 1699928432

Greg Anthony Johnson is a Orthotist based in Fayetteville, MO. Greg Anthony Johnson practices in Joplin, MO and has the professional credentials of CO,BOCP. The NPI Number for Greg Anthony Johnson is 1699928432 and holds a License No. OP00095 (Missouri).

The current practice location address for Greg Anthony Johnson is 1027 S Main St Ste Ll3, Joplin, MO and can be reached out via phone at 417-726-9964 and via fax at 417-622-4449.

Location: 1027 S Main St Ste Ll3, Joplin, MO, 72704-7206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699928432
Provider Name
Greg Anthony Johnson
Credential
CO,BOCP
Provider Entity Type
Individual
Gender
Male
Address
1027 S Main St Ste Ll3, Joplin, MO, 72704-7206
Phone Number
417-726-9964
Fax Number
417-622-4449
Provider Enumeration Date
10/24/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C51253 01 BOARD OF CERTIFICATION
CO004206 01 AMERICAN BOARD OF CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
1027 S Main St Ste Ll3
City
Joplin
State
Missouri
Zip
64801-4565
Phone Number
417-726-9964
Fax Number
417-622-4449
person
Provider Business Mailing Address Details
Address
1027 S Main St Ste Ll3
City
Joplin
State
Missouri
Zip
64801-4565
Phone Number
417-726-9964
Fax Number
417-622-4449
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
OP00095 (Arkansas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
OP00095 (Arkansas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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