Provider Demographics
NPI:1144369646
Name:BARRETT JOHNSON, JUDITH (NCTMB)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:BARRETT JOHNSON
Suffix:
Gender:F
Credentials:NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:1246 COLLEGEVILLE ROAD
Mailing Address - City:SKIPPACK
Mailing Address - State:PA
Mailing Address - Zip Code:19474-0366
Mailing Address - Country:US
Mailing Address - Phone:610-584-2439
Mailing Address - Fax:
Practice Address - Street 1:1246 COLLEGEVILLE ROAD
Practice Address - Street 2:
Practice Address - City:SKIPPACK
Practice Address - State:PA
Practice Address - Zip Code:19474
Practice Address - Country:US
Practice Address - Phone:610-584-2439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist