Individual
ELIZABETH STORI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20401 N 73RD ST, STE 255, SCOTTSDALE, AZ 85255-4107
(480) 353-0446
(877) 715-6428
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0799
LICENSE
AZ
Enumeration date
06/17/2013
Last updated
06/17/2013
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