| Levi Johnson, | |
|
280 1st St Bldg 23, Holloman Afb, NM 88330-8273 | |
| (575) 572-3564 | |
| Not Available |
| Full Name | Levi Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 280 1st St Bldg 23, Holloman Afb, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225537228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP004023T (Oklahoma) | Secondary |
| 225100000X | Physical Therapist | 1301339 (Texas) | Secondary |
| 225100000X | Physical Therapist | 5867 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Levi Johnson, 224 Espana Ln, El Paso, TX 79912-4512 Ph: () - | Levi Johnson, 280 1st St Bldg 23, Holloman Afb, NM 88330-8273 Ph: (575) 572-3564 |
Garret Anthony Wadsack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2797 San Andres Ct Apt B, Holloman Afb, NM 88330 Phone: 505-479-1050 | |
Jerome Carlos Malimban, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 1st St, Holloman Afb, NM 88330 Phone: 575-572-0899 | |
Kaitlyn M Shaughnessy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Mdg, 280 David L. Goldfein St, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-8860 | |
Mrs. Sarah Banister, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 832 Nighthawk Avenue, Building 832, Holloman Afb, NM 88330 Phone: 575-572-4070 | |
Unna Camille Mangune, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 1st St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-0889 | |
Dr. John David Paz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 1st St, Holloman Afb, NM 88330 Phone: 575-572-2778 |