Provider Demographics
NPI:1144104159
Name:JOHNSON, DENISE A (RRT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:A
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33102 MILLS RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-2482
Mailing Address - Country:US
Mailing Address - Phone:760-221-6822
Mailing Address - Fax:760-221-6822
Practice Address - Street 1:33102 MILLS RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-2482
Practice Address - Country:US
Practice Address - Phone:760-221-6822
Practice Address - Fax:760-221-6822
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care