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
Primary
PT44220
FL
Other
Enumeration date
07/08/2025
Last updated
01/08/2026
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