IndividualActive
Alexandra Johnson
NPI 1386293173 · Athletic Trainer · Conway, SC
Provider details
- NPI number
- 1386293173
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1045 (SC)
Mailing address
1044 Corn Husk Loop
Conway, SC 29527-6846
Registry dates
- Enumerated
- 2019-09-05
- Last updated
- 2025-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.