Individual
RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
ASU STATION #10899, SAN ANGELO, TX 76909
(325) 486-6047
Mailing address
850 LUCAS ST APT D, ROCK HILL, SC 29730-4180
(682) 552-0843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1467
SC
2255A2300X
Athletic Trainer
Primary
AT5557
TX
Other
Enumeration date
11/11/2014
Last updated
01/21/2021
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