MR. Travis Johnson

NPI #1912272246 in Pahrump, Nevada

Provider Information

NPI Number: 1912272246
Entity Type: Individual
Name: MR. Travis Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 3181 QUAIL RUN RD
City: Pahrump
State: Nevada
ZIP Code: 89060-3046
Phone: (775) 513-2871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X	Primary

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