NPI 1518395326

Lora Brooke Johnson, ATCCLTMS

Practitioner Athletic Trainer South Burlington, VT

Practice location

Address: 27 Green Mountain Dr Unit 306, South Burlington, VT 05403-7965
Phone: (802) 249-2909

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 080302236 (VT)

Other Specialist/Technologist providers in Vermont →

Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1518395326
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2013
Record last updated: 2 Nov 2020

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.