Individual
MAYA ANDREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, CPT
Contact information
Practice address
162 TOKOMA DR, WAXAHACHIE, TX 75165-2447
(214) 907-4045
Mailing address
162 TOKOMA DR, WAXAHACHIE, TX 75165-2447
(214) 907-4045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6273
TX
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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