Michael L Johnson, LMT, LAT Valid NPI

Individual provider · Athletic Trainer · Madison, WI

NPI

1821018987

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

50-039 (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-20

Last updated

2014-05-21