TRAVIS Q JOHNSON LAC NPI 1902491541

NPI Information

NPI: 1902491541
Provider Name: TRAVIS Q JOHNSON, LAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
4304 W EMERALD ST
BOISE, ID
ZIP 83706
Phone: (208) 615-2537
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Travis Q Johnson, LAC is an acupuncturist in Boise, ID. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Travis Q Johnson, LAC NPI is 1902491541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4304 W EMERALD ST
BOISE, ID
ZIP 83706-039
Phone: (208) 615-2537

The enumeration date for this NPI number is 3/5/2021 and was last updated on 12/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		ACU-441	IDAHO	Yes
2	171100000X	Acupuncturist		AC61091662	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AC61091662	OTHER	WASHINGTON	STATE
2	ACU-441	OTHER	IDAHO	STATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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