Tyler Johnson, MS, ATC Valid NPI

Individual provider · Athletic Trainer · Salt Lake City, UT

NPI

1184175002

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

9068972-4810 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2016-10-14

Last updated

2016-10-14