Individual
MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4440 QUICK RD, PENINSULA, OH 44264-9706
(330) 929-3191
Mailing address
215 W BOWERY ST, SUITE 7300, AKRON, OH 44308-1069
(330) 543-8260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
4386
OH
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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