NPI 1508455841

Brandon Johnson, ATC

Practitioner Athletic Trainer Columbus, MS

Practice location

Address: 2429 5th St N, Columbus, MS 39705-2005
Phone: (662) 328-4542

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0305 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1508455841
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2021
Record last updated: 6 Apr 2021

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.