Individual
CHELLSIE D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ATC
Contact information
Practice address
3500 E 12TH ST, CASPER, WY 82609-3125
(307) 253-2028
Mailing address
3454 CHAPARRAL, CASPER, WY 82604-5432
(970) 381-3472
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
072
WY
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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