IndividualActive
Akilah Johnson, LMT
NPI 1902735350 · Sports Medicine (Preventive Medicine) Physician · Avondale, AZ
Provider details
- NPI number
- 1902735350
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT-28848 (AZ)
Practice location
11120 W Van Buren St Apt 2033
Avondale, AZ 85323-7291
Phone: (602) 873-4075
Mailing address
11120 W Van Buren St Apt 2033
Avondale, AZ 85323-7291
Registry dates
- Enumerated
- 2026-05-13
- Last updated
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.