NPI 1619555778

Kayla Jean Johnson, MSLATATC

Practitioner Athletic Trainer Elmhurst, IL

Practice location

Address: 190 S Prospect Ave, Elmhurst, IL 60126-3271
Phone: (630) 617-3400
Mailing address: 4547 N Karlov Ave, Chicago, IL 60630-4401

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096005287 (IL)

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Registry record

NPI: 1619555778
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2021
Record last updated: 1 Feb 2023

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.