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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY TATE JOHNSON, ATC

Active Sole Proprietor

JEREMY TATE JOHNSON, ATC is a Athletic Trainer healthcare provider located in DANVILLE, Kentucky. NPI 1801274550 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DANVILLE, KY

Registration Details

NPI Number
1801274550
Provider Type
Individual
Gender
Male
NPI Issued
May 14, 2015 (11.21007963938 yrs)
Last Updated
May 14, 2015
License
AT907 (KY)
Sole Proprietor
Yes

Practice Information

Address
1637 PERRYVILLE RD.
BOYLE COUNTY HIGH SCHOOL
DANVILLE, KY, 40422
Browse KY providers · Browse ZIP 40422
Phone
8592365047
Fax
8592366826
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DANVILLE, KY

Name Credential NPI
MISS JOAN E. MANN ATC 1518994136
T Y FISHER MS, ATC, LAT 1346606274
MR. JAMEY GAY ATC, LAT 1326405457
KIMBERLY ANN MCNAMARA MS, LAT, ATC, NREMT 1457859480
CAITLIN THOMPSON MAT, LAT, ATC 1194469734
JOHNNA RAE YEAGER ATC, LAT 1770210486
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.