KYLE MICHAEL JOHNSON

SPRINGFIELD, IL
NPI1528070539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.001956)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
Mr. KYLE MICHAEL JOHNSON ATC
320 E CARPENTER ST 1-B
SPRINGFIELD, IL 62702-5185
Phone number: 217-744-8000
Mailing Address
Mr. KYLE MICHAEL JOHNSON ATC
6660 KODIAK RD
RIVERTON, IL 62561-6017
Phone number: 217-566-2155
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