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Individual
ZACHARY DAVID JOHNSON
Active
Individual
ZACHARY DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
AT1203
KY
Other
Enumeration date
01/05/2015
Last updated
05/20/2021
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