Individual
ZACHARY JOHNSON-CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2550 SAMARITAN DR STE 101-B, LAS CRUCES, NM 88001-1170
(575) 592-2088
(575) 592-2226
Mailing address
2550 SAMARITAN DR STE 101-B, LAS CRUCES, NM 88001-1170
(575) 592-2088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT-2024-0050
NM
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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