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Search › Idaho › 225200000X

Brandon Johnson, PTA

NPI 1881139806 · on the registry since 2016

Practice

Address
527 Memorial Dr
Pocatello, ID 83201
Phone
(208) 226-6964
Organisation at this address
Pocatello Health Services, Inc.
Pocatello Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho