Individual
GREGORY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7925 W MANSFIELD PKWY UNIT 303, LAKEWOOD, CO 80235-1955
(720) 317-7896
Mailing address
7925 W MANSFIELD PKWY UNIT 303, LAKEWOOD, CO 80235-1955
(720) 317-7896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
06-226-0521
CO
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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