Individual
CALEB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
1001 CHERRY BLOSSOM WAY, GEORGETOWN, KY 40324-9564
(502) 868-2000
Mailing address
1001 CHERRY BLOSSOM WAY, GEORGETOWN, KY 40324-9564
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2088
KY
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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