Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raberta Jo Johnson

Individual provider Athletic Trainer · NPI 1417596446

Raberta Jo Johnson is an Athletic Trainer in Price, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2019

Practice location Address checks out

451 E 400 N
Price, UT 84501-2626
Phone: (435) 262-0216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 10476504-4810 (UT)

Record details

NPI number1417596446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2019
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019
Mailing address1600 E 800 N, Price, UT 84501-2008

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