Individual
CAYTELYNN MAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410661901
—
TX
01
—
8MT157
BCBS
TX
Enumeration date
03/24/2020
Last updated
06/15/2020
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