Individual
MR. JEFFERY KENT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4141 SPRING VALLEY RD, ADDISON, TX 75001-3615
(972) 628-5649
(972) 628-5650
Mailing address
4141 SPRING VALLEY RD, ADDISON, TX 75001-3615
(972) 628-5649
(972) 628-5650
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3431
TX
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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