JOHNSON, JEREMY WAYNE - Licensee Information

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Last Update: Friday, April 26, 2024 2:08 PM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

JOHNSON, JEREMY WAYNE

Practice Address:	Not Practicing as of 9/12/2021 Address last updated on 4/2/2024
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	3716
Dated:	5/27/2004
Expires:	1/31/2025
License Type:	Physical Therapist
Specialty:

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
Not Practicing as of 9/12/2021 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
BRIAN LEE BARNUM	TA	1049
ADAM RAY BOYD	TA	1574
JESSICA MARIE BROWN	TA	2180
TIFFANY BULLA	TA	3560
SHANE EUGENE FRANCIS CORROTTO	TA	206
ANNA MARIA COSTELLO	TA	3289
JOHN MICHAEL HAMMON	TA	1148
BRADYN CHASE KOEHLER	TA	3265
JOSHINA PHILIPOSE	TA	2294
NICHOLE LYNN POWELL	TA	3659
KEMI RENEE SOGUNRO	TA	3295
SHANA RENEE STEPHENSON	TA	2138
RYAN BELMONT TAYLOR	TA	3229
AMELIA ANN WADDLE	TA	2660