Individual
ALYSON NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1042 WINTERS DR, RACELAND, KY 41169-1930
(606) 465-0485
Mailing address
1042 WINTERS DR, RACELAND, KY 41169-1930
(606) 465-0485
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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