Individual
TREVOR SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 712-7023
Mailing address
4701 REDBUD DR, DENTON, TX 76208-6845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1407061
TX
225100000X
Physical Therapist
CP048681T
SC
225100000X
Physical Therapist
CP059847T
AZ
225100000X
Physical Therapist
Primary
PT44220
FL
Other
Enumeration date
07/08/2025
Last updated
07/22/2026
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