Organization
JOHNSON WELLNESS LLC
Active
Other names
TR3 Athletic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSON (OWNER)
(928) 920-8605
Entity
Organization
Contact information
Practice address
1401 N 75TH ST, 110, SCOTTSDALE, AZ 85257-3507
(928) 920-8605
Mailing address
1401 N 75TH ST, 110, SCOTTSDALE, AZ 85257-3507
(928) 920-8605
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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