Matthew Johnson
NPI #1992183057 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1992183057
- Entity Type
- Individual
- Name
- Matthew Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- May 11, 2015
- Last Updated
- May 11, 2015
Practice Location
- Address
- 18220 SAN LUCAS CT
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-3870
- Phone
- (262) 993-1383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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