Individual
DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0018040
CO
2255A2300X
Athletic Trainer
—
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
ND
Other
Enumeration date
10/05/2017
Last updated
03/02/2022
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