IndividualActive
Brandon Johnson, ATC
NPI 1205359114 · Athletic Trainer · Flagstaff, AZ
Provider details
- NPI number
- 1205359114
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1705 N San Francisco St
Flagstaff, AZ 86001-1348
Phone: (702) 606-7241
Approximate (ZIP-level) locationGet directions
Mailing address
4343 E Soliere Ave Apt 1050
Flagstaff, AZ 86004-7947
Registry dates
- Enumerated
- 2017-07-23
- Last updated
- 2017-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.