Nathan Johnson
Nathan Johnson is an Athletic Trainer in Grand Haven, Michigan. Licensed in North Carolina. Registered with an NPI since 2018.
- Licensed in
- NC
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
15958 Winans StGrand Haven, MI 49417-9636
Phone: (616) 607-4425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence P21310 (NC) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1609379494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 17, 2018 |
| Last updated in NPPES | June 16, 2022 |
| Certification date | June 16, 2022 |
| Mailing address | 135 River Birch Grove Rd Apt 4, Asheville, NC 28806-0341 |
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