Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Travis Q Johnson, LAC

Individual provider Acupuncturist · NPI 1902491541

Travis Q Johnson, LAC is an Acupuncturist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4304 W Emerald St
Boise, ID 83706-2039
Phone: (208) 615-2537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence ACU-441 (ID)
Acupuncturist Taxonomy 171100000X · Licence AC61091662 (WA)

Record details

NPI number1902491541
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedMarch 5, 2021
Last updated in NPPESDecember 16, 2023
Certification dateDecember 16, 2023
Mailing address4304 W Emerald St, Boise, ID 83706-2039

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