IndividualActive
Johnathan Waters, RT (R) CT
NPI 1043588833 · Computed Tomography Radiologic Technologist · Pueblo, CO
Provider details
- NPI number
- 1043588833
- Entity type
- Individual
- Primary specialty
- Computed Tomography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT (R) CT
- Sex
- Male
- Sole proprietor
- No
- License
- RHF64081 (CA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
2223 Daniel Road
Pueblo, CO 81006
Phone: (360) 850-2739
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 432
Seligman, AZ 86337
Registry dates
- Enumerated
- 2011-12-07
- Last updated
- 2011-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.