Nicholas Robert Johnson, PT, DPT

NPI #1043635501 in Cheyenne, Wyoming

Provider Information

NPI Number: 1043635501
Entity Type: Individual
Name: Nicholas Robert Johnson, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 20, 2014
Last Updated: Jun 27, 2019

Practice Location

Address: 1900 CONVERSE AVE STE B
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4112
Phone: (307) 514-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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