Individual
RACHEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
720 4TH AVE S, HAH 214, SAINT CLOUD, MN 56301-4442
(320) 308-2590
(320) 308-2099
Mailing address
720 4TH AVE S, HAH 214, SAINT CLOUD, MN 56301-4442
(320) 308-2590
(320) 308-2099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1398
MN
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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