Tina Johnson

NPI #1003614884 in Fort Collins, Colorado

Provider Information

NPI Number: 1003614884
Entity Type: Individual
Name: Tina Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Mar 6, 2025
Last Updated: Mar 6, 2025

Practice Location

Address: 4856 INNOVATION DR
City: Fort Collins
State: Colorado
ZIP Code: 80525-5539
Phone: (970) 494-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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