Individual
TYLER OWEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3584 W 9000 S, SUITE 102, WEST JORDAN, UT 84088-5710
(801) 601-2350
(801) 562-3190
Mailing address
3584 W 9000 S, SUITE 102, WEST JORDAN, UT 84088-5710
(801) 601-2350
(801) 562-3190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5318192-2401
UT
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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