Individual
MR. BRIAN DAVID JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, OTC
Contact information
Practice address
W127 MEMORIAL CENTER, JOHNSON CITY, TN 37614
(423) 439-4007
(423) 439-5264
Mailing address
1986 MICHAEL DRIVE, JOHNSON CITY, TN 37604
(423) 926-7617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
600
TN
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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