Individual
DR. JEREMIAH ROGER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
12207 PECOS ST STE 600, WESTMINSTER, CO 80234-3896
(303) 561-0447
Mailing address
14310 GRANT ST APT 13-308, THORNTON, CO 80023-6457
(320) 760-5866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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