TRAVIS Q JOHNSON

BOISE, ID
NPI1902491541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: ID  ACU-441)
Additional Taxonomies171100000X Acupuncturist
(Licence: WA  AC61091662)
Enumeration Date2021-03-05
Last Update Date2023-12-16
Business Address
TRAVIS Q JOHNSON LAC
4304 W EMERALD ST
BOISE, ID 83706-2039
Phone number: 208-615-2537
Mailing Address
TRAVIS Q JOHNSON LAC
4304 W EMERALD ST
BOISE, ID 83706-2039
Phone number: 208-615-2537