Individual
KISHIA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT,ATC
Contact information
Practice address
14 BUFFALO VALLEY LN, QUITMAN, AR 72131-8966
(501) 253-8822
Mailing address
14 BUFFALO VALLEY LN, QUITMAN, AR 72131-8966
(501) 253-8822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AR
Other
Enumeration date
09/04/2019
Last updated
03/03/2026
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