Individual
TRAVIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 VETERANS DR STE 115, JACKSONVILLE, IL 62650-4032
(217) 243-8951
(217) 602-0489
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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