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Contact Information

ABBY JOHNSON, LAT
16550 W 78TH STREET
SUITE B
EDEN PRAIRIE, MN55346
 Phone: 952-873-7400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ABBY JOHNSON · (Female)

NPI Number 1225447113
Status Active
Credentials LAT
Entity Individual
Enumeration date 08/05/2014
Last updated 05/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2741
  • WI License # 1509-39
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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