Jordan Reid Johnson, MS, LAT, ATC
NPI #1174034938 in Banner Elk, North Carolina
Provider Information
- NPI Number
- 1174034938
- Entity Type
- Individual
- Name
- Jordan Reid Johnson, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, LAT, ATC
- Enumeration Date
- Oct 19, 2017
- Last Updated
- Oct 19, 2017
Practice Location
- Address
- 191 MAIN ST
- City
- Banner Elk
- State
- North Carolina
- ZIP Code
- 28604-9626
- Phone
- (828) 898-8892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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