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Individual

RACHEL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
141 KATYDID DR, ATHENS, GA 30601-2187
(302) 379-5367
Mailing address
141 KATYDID DR, ATHENS, GA 30601-2187
(302) 379-5367

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1389
AZ
2255A2300X
Athletic Trainer
Primary
AT003186
GA

Other

Enumeration date
08/17/2015
Last updated
06/17/2019
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