Individual
TRAVIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
400 2ND ST S STE 165, HUDSON, WI 54016-1593
(715) 808-0723
Mailing address
8147 GLOBE DR STE 100, WOODBURY, MN 55125-3379
(651) 731-0505
(651) 731-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6597
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6597
BLUE CROSS BLUE SHIELD, HEALTH PARTNERS, CIGNA, CHIROCARE
MN
Enumeration date
02/07/2019
Last updated
07/01/2021
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