Most Relevant Information
Provider Data
| NPI Number: | 1003218561 |
| Provider Name: | JILLIAN JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2803 |
Most Important Dates
| Enumeration Date: | 09/16/2014 |
| Last Updated: | 09/16/2014 |
Provider Practice Location
6490 S MCCARRAN BLVD STE B10
RENO
NV
895096120
Practice Location Phone/Fax
| Phone: | 7753235458 |
| Fax: |
Provider Mailing Location
6490 S MCCARRAN BLVD STE B10
RENO
NV
895096120
Provider Mailing Phone/Fax
| Phone: | 7753235458 |
| Fax: |