Individual
SYLVAN M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2891 E MALL DR STE 200, ST GEORGE, UT 84790-2399
(435) 688-1665
(435) 619-8634
Mailing address
PO BOX 912042, SAINT GEORGE, UT 84791-2042
(435) 688-1665
(435) 619-8634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3722
NV
2251X0800X
Orthopedic Physical Therapist
Primary
12215268-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V55637
MEDICARE
NV
Enumeration date
02/12/2015
Last updated
02/21/2025
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