Individual
MR. DANIEL TRAVIS JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 PERIMETER ROAD, CLEMSON, SC 29633-0031
(864) 656-4226
Mailing address
PO BOX 31, CLEMSON, SC 29633-0031
(864) 656-4226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
985
SC
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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