NPI 1710185376

Phillip W Johnson, CPO

Practitioner Orthotist Blacksburg, VA

Practice location

Address: 3635 S Main St Suite a, Blacksburg, VA 24060-7019
Phone: (540) 951-2566
Fax: (540) 951-7818

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO 02395 (FL)

Other Orthotist providers in Virginia →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO 02395 (FL)

Other Prosthetist providers in Virginia →

Registry record

NPI: 1710185376
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2007
Record last updated: 21 Dec 2007

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.