NPI age
5 years
Enumerated 2021-03-05
● Active
Type 1 · Individual
Travis Q Johnson, LAC
Johnson is 1 of 48 acupuncturist providers in Boise and 1 of 136 in Idaho.
Primary specialty
Acupuncturist
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 136 active acupuncturist providers in Idaho.
NPI age
5 years
↓ 7 yr below median (12 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-03Enumerated in NPPES
2021
2026
Where they practice
Practice location
4304 W Emerald St
Boise, ID 837062039
Mailing address
4304 W Emerald St
Boise, ID 837062039
Specialties
-
Acupuncturist PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | AC61091662 | STATE |
| 01 (ID) | ACU-441 | STATE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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