Individual
JODI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L, PES
Contact information
Practice address
5510 S 2100 W, ROY, UT 84067-2420
(801) 814-9199
Mailing address
5510 S 2100 W, ROY, UT 84067-2420
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6510351-4810
UT
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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