Travis Johnson
NPI #1033815071 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1033815071
- Entity Type
- Individual
- Name
- Travis Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Feb 1, 2023
- Last Updated
- Feb 1, 2023
Practice Location
- Address
- 5512 BIG TYLER RD
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1304
- Phone
- (304) 766-9830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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