Individual
DR. BRANDON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9328 OUTER BANKS AVE, LAS VEGAS, NV 89149-0195
(858) 525-2832
Mailing address
9328 OUTER BANKS AVE, LAS VEGAS, NV 89149-0195
(858) 525-2832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
4113
NV
2251N0400X
Neurology Physical Therapist
4113
NV
2251S0007X
Sports Physical Therapist
4113
NV
2251X0800X
Orthopedic Physical Therapist
4113
NV
Other
Enumeration date
01/12/2018
Last updated
01/16/2020
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