NPI 1043635501

Nicholas Robert Johnson, PTDPT

Practitioner Physical Therapist Cheyenne, WY

Practice location

Address: 1900 Converse Ave STE B, Cheyenne, WY 82001-4112
Phone: (307) 514-2411
Fax: (307) 514-2392
Mailing address: PO Box 1790, Douglas, WY 82633-1790

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1858 (WY)

Other Physical Therapist providers in Wyoming →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 11-04736 (KS)

Registry record

NPI: 1043635501
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2014
Record last updated: 27 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.