Individual
PATRICIA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2131 JERRY MURPHY RD, PUEBLO, CO 81001-1262
(719) 546-0037
Mailing address
417 W VENTURI DR, PUEBLO WEST, CO 81007-6008
(719) 547-8482
(719) 647-0398
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
9529
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
793912
ASSOCIATED MASSAGE AND BODYWORK PROFESSIONALS
CO
01
—
9529
STATE OF CO, DIVISION OF REGISTRATIONS
CO
Enumeration date
07/12/2010
Last updated
07/12/2010
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