NPI 1073401725
Tyson Johnson
Practice location
- Address
- 7200 S 84th St STE 6, La Vista, NE 68128-2116
- Phone
- (531) 999-2503
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1073401725
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jun 2025
- Record last updated
- 24 Jun 2025
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.