Individual
SYDNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1055 H ST, BLAINE, WA 98230-8101
(360) 332-6045
Mailing address
8401 HOLLY LN, MAPLE FALLS, WA 98266-7029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161091015
WA
Other
Enumeration date
10/30/2015
Last updated
09/12/2022
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