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Kassandra Johnson
NPI 1417518408 · on the registry since 2019
Practice
- Address
- 875 Perimeter Dr
Moscow, ID 83844 - Phone
- (208) 885-6111
- Clinicians at this address
- 117
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-21
- Status
- Not present in the most recent federal file
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 Idaho