MICHAEL ALLEN JOHNSON

MUNCIE, IN
NPI1366127326
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  4000-45-2659)
Enumeration Date2023-06-19
Last Update Date2023-10-24
Business Address
MICHAEL ALLEN JOHNSON
2006 S LAZY CREEK DR
MUNCIE, IN 47302-2070
Phone number: 765-748-9414
Mailing Address
MICHAEL ALLEN JOHNSON
2006 S LAZY CREEK DR
MUNCIE, IN 47302-2070
Phone number: 765-748-9414