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Individual

SARAH KATHLEEN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
10720 NALL AVE, OVERLAND PARK, KS 66211-1206
(620) 770-9208
Mailing address
122 N 3RD ST, LINDSBORG, KS 67456-2130
(620) 770-9208

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2014034049
MO
2255A2300X
Athletic Trainer
Primary
2400982
KS

Other

Enumeration date
01/26/2015
Last updated
01/26/2015
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