NPI 1144790437

Angelica Johnson, ATC

Practitioner Athletic Trainer Kailua Kona, HI

Practice location

Address: 78-6831 Alii Dr STE 422, Kailua Kona, HI 96740-5402
Phone: (808) 747-8321

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-327 (HI)

Other Specialist/Technologist providers in Hawaii →

Registry record

NPI: 1144790437
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2018
Record last updated: 29 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.