Individual
EMALEE ALYCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4485 N US HIGHWAY 25, EAST BERNSTADT, KY 40729-6538
(606) 657-8830
Mailing address
4485 N US HIGHWAY 25, EAST BERNSTADT, KY 40729-6538
(606) 657-8830
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KY
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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