Loagan Mackenzie Johnson
Physical Therapist Physical Medicine & Rehabilitation Doctor
7213 S Siwell Rd Ste A
Byram
, Mississippi 39272-9776
Loagan Mackenzie Johnson
Physical Therapist Physical Medicine & Rehabilitation Doctor
7213 S Siwell Rd Ste A
Byram
, Mississippi 39272-9776
(601) 934-0659
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Physical Therapist
Languages spoken
- English
Location
First Address
- Loagan Mackenzie Johnson
- 420 Araglen Drive
- Canton, MS
- Zip : 39046
- Phone : (601) 934-0659
Second Address
- Loagan Mackenzie Johnson
- 7213 S Siwell Rd Ste A
- Byram, MS
- Zip : 39272-9776
- Phone : (601) 346-9191
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | PT6875 | MS |
| Y | 225100000X | Physical Therapist | PT6875 | MS |
National Provider Identifier
| NPI | 1063036242 |
|---|---|
| Provider Name | Loagan Mackenzie Johnson |
| First Address | Canton, MS 39046 |
| Second Address | Byram, MS 39272-9776 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.