Provider Demographics
NPI:1578398053
Name:JOHNSON, BRITNI H (BA, FNTP, RWP)
Entity type:Individual
Prefix:
First Name:BRITNI
Middle Name:H
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:BA, FNTP, RWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1009
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:CO
Mailing Address - Zip Code:80467-1009
Mailing Address - Country:US
Mailing Address - Phone:630-995-1392
Mailing Address - Fax:
Practice Address - Street 1:129 E WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:CO
Practice Address - Zip Code:80467-5002
Practice Address - Country:US
Practice Address - Phone:630-995-1392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach