Individual
KADY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 ENGINEERING DR, MADISON, WI 53706-1607
(608) 262-3630
Mailing address
2357 N 88TH ST, WAUWATOSA, WI 53226-1953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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