NPI 1003223298

Kenneth Johnson, LATATC

Practitioner Athletic Trainer Coral Gables, FL

Practice location

Address: 6201 San Amaro Dr, Coral Gables, FL 33146-2407
Phone: (305) 284-5286

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL 3447 (FL)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1003223298
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2014
Record last updated: 19 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.