Tanner Johnson, ATC

NPI #1174994990 in Charlotte, Michigan

Provider Information

NPI Number
1174994990
Entity Type
Individual
Name
Tanner Johnson, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Oct 20, 2015
Last Updated
Oct 20, 2015

Practice Location

Address
1460 HIDDEN TRL
ZIP Code
48813-8789
Phone
(517) 667-0709

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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