IndividualActive
Brandon Johnson, ATC
NPI 1508455841 · Athletic Trainer · Columbus, MS
Provider details
- NPI number
- 1508455841
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT0305 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2429 5th St N
Columbus, MS 39705-2005
Phone: (662) 328-4542
Approximate (ZIP-level) locationGet directions
Mailing address
2429 5th St N
Columbus, MS 39705-2005
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2021-04-06
- Certified
- 2021-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.