Kendra Johnson, ATC, LAT
NPI #1407411861 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1407411861
- Entity Type
- Individual
- Name
- Kendra Johnson, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- May 1, 2019
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 39542 GOLDEN LAKE PARK RD
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-9405
- Phone
- (262) 719-9072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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