Individual
DAVID ALLEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
359 LAGRANGE, HANOVER, IN 47243
(812) 701-2653
Mailing address
359 LAGRANGE, HANOVER, IN 47243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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