Individual
TIFFANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2601 RIVER RD, CONESTOGA, PA 17516-9327
(717) 842-2321
Mailing address
424 LANCASTER AVE APT 2, LANCASTER, PA 17603-3310
(302) 373-2458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7592
TX
Other
Enumeration date
11/19/2016
Last updated
04/07/2022
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