Individual
MELISSA A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, CEAS, CFCE
Contact information
Practice address
225 MEMORIAL DR, REHAB SERVICES, BERLIN, WI 54923-1243
(920) 361-5534
(920) 361-5910
Mailing address
225 MEMORIAL DR, REHAB SERVICES, BERLIN, WI 54923-1243
(920) 361-5534
(920) 361-5910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
584-039
WI
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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