Individual
DANIEL DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1300 17TH AVE N, FARGO, ND 58102
(651) 925-6115
Mailing address
PO BOX 6050, DEPT 1200, FARGO, ND 58108
(651) 925-6115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1216-25
ND
Other
Enumeration date
08/10/2024
Last updated
12/16/2025
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