JORDAN REID JOHNSON

BANNER ELK, NC
NPI1174034938
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  3602)
Enumeration Date2017-10-19
Last Update Date2017-10-19
Business Address
JORDAN REID JOHNSON MS, LAT, ATC
191 MAIN ST
BANNER ELK, NC 28604-9626
Phone number: 828-898-8892
Mailing Address
JORDAN REID JOHNSON MS, LAT, ATC
PO BOX 128
BANNER ELK, NC 28604-0128
Phone number: