Individual
MRS. DANNA SUZANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC/L
Contact information
Practice address
1616 W MAIN ST, LEBANON, TN 37087-3100
(615) 443-6818
Mailing address
202 ACADEMY AVE, ALEXANDRIA, TN 37012-2030
(615) 529-2795
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000441
TN
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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