Search › Wisconsin › 2255A2300X
Kendra Johnson, ATC, LAT
NPI 1407411861 · on the registry since 2019 · sole proprietor
Practice
- Address
- 39542 Golden Lake Park Rd
Oconomowoc, WI 53066 - Phone
- (262) 719-9072
Additional practice sites
- 801 15th Ave, South Milwaukee, WI
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin