IndividualActive
Corey Johnson
NPI 1184350902 · Athletic Trainer · Conway, AR
Provider details
- NPI number
- 1184350902
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT991 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1600 Washington Ave
Conway, AR 72032-4115
Phone: (318) 525-7936
Approximate (ZIP-level) locationGet directions
Mailing address
6 Reliance Ct
Mayflower, AR 72106-9455
Registry dates
- Enumerated
- 2022-07-25
- Last updated
- 2022-07-25
- Certified
- 2022-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.