Ty Everette Johnson
NPI #1407547086 in Torrington, Wyoming
Provider Information
- NPI Number
- 1407547086
- Entity Type
- Individual
- Name
- Ty Everette Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 16, 2023
- Last Updated
- May 16, 2023
Practice Location
- Address
- 2802 W C ST
- City
- Torrington
- State
- Wyoming
- ZIP Code
- 82240-1834
- Phone
- (307) 532-0134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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