NPI 1073083457
Jade Taylir Johnson, ATC
Practice location
- Address
- 1111 Main St, Wayne, NE 68787-1181
- Phone
- (402) 375-7162
- Mailing address
- 521 E 6th St, Wayne, NE 68787-2210
Registered specialties (2)
Sports Medicine (Preventive Medicine) Physician
Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1073083457
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2018
- Record last updated
- 28 Nov 2018
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.