Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH VINCENT JOHNSON, ATC, NRAEMT
Active Sole ProprietorMR. KEITH VINCENT JOHNSON, ATC, NRAEMT is a Athletic Trainer healthcare provider located in MALVERN, Pennsylvania. NPI 1700929031 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MALVERN, PA
Registration Details
- NPI Number
- 1700929031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2007 (19.531022453 yrs)
- Last Updated
- Dec 16, 2015
- License
-
RT001618A (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13 FAHNESTOCK RDMALVERN, PA, 193552104Browse PA providers · Browse ZIP 19355
- Phone
- 6106331478
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MALVERN, PA
| Name | Credential | NPI |
|---|---|---|
| MR. EDWARD B STIER | MA, ATC | 1619961513 |
| AMY HARR | LAT, ATC, ROT | 1952702581 |
| LAURA HASSERT | — | 1053857235 |
| RYAN O'KANE | DAT, LAT, ATC | 1801459169 |
| KEVIN RAFTERY | ATC | 1619660594 |
| MADELINE ISWALT | — | 1760203392 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.