Kurt Johnson
Specialist/Technologist, Athletic Trainer in Wallingford, CT. Individual provider (NPI-1).
NPI number1982110144
StatusActive
Last updated in NPPESDec 22, 2017
Details
- NPI
- 1982110144
- Entity type
- Individual (NPI-1)
- Name
- Kurt Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2017
- Last updated
- Dec 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
10 Pond CtWallingford, CT 06492-2142
Phone 203-605-7258
Mailing address
10 Pond CtWallingford, CT 06492-2142
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All 16 Athletic Trainer providers in Wallingford · All 1,151 providers in Wallingford
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