Individual
CASEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
401 OUACHITA STREET, ARKADELPHIA, AR 71998-0001
(870) 245-5285
Mailing address
410 OUACHITA STREET BOX 3652, ARKADELPHIA, AR 71998-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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