Individual
KELLY JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2035 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2223
(702) 386-7980
Mailing address
555 E SILVERADO RANCH BLVD UNIT 1045, LAS VEGAS, NV 89183-6291
(702) 355-8845
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0824
NV
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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