Individual
TRACY JOHNSON
Active
Individual
TRACY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
304342
CA
225100000X
Physical Therapist
Primary
6518
NV
225100000X
Physical Therapist
PT61311447
WA
Other
Enumeration date
06/20/2022
Last updated
11/22/2024
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