Tiffany Johnson, LAT, ATC
Specialist/Technologist, Athletic Trainer in Conestoga, PA. Individual provider (NPI-1).
NPI number1669915880
StatusActive
Last updated in NPPESApr 7, 2022
Details
- NPI
- 1669915880
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Johnson
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2016
- Certification date
- Apr 7, 2022
- Last updated
- Apr 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT7592 | TX | Yes |
Practice location
2601 River RdConestoga, PA 17516-9327
Phone 717-842-2321
Mailing address
424 Lancaster Ave Apt 2Lancaster, PA 17603-3310
Phone 302-373-2458
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