Individual
JOHNNA RAE YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
725 ALTON RD, DANVILLE, KY 40422-1126
(606) 627-8106
Mailing address
725 ALTON RD, DANVILLE, KY 40422-1126
(606) 627-8106
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1540
KY
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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