JEREMY TATE JOHNSON ATC
NPI 1801274550
Specialist/Technologist - Athletic Trainer in Danville, KY

Active since May 14, 2015
1637 PERRYVILLE RD., BOYLE COUNTY HIGH SCHOOL, DANVILLE, KY 40422(859) 236-5047(859) 236-6826 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeremy Tate Johnson Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY TATE JOHNSON ATC (NPI 1801274550) is an individual athletic trainer provider in Danville, Kentucky, licensed in Kentucky (AT907) and active in the NPI registry since May 2015.Information from the official NPPES registry record, last updated May 14, 2015.

NPPES Registry Identity

NPI1801274550
Entity TypeIndividualMale
Provider Legal NameJEREMY TATE JOHNSONCredential: ATC
Location Address1637 PERRYVILLE RD., BOYLE COUNTY HIGH SCHOOLDanville, KY 40422
Mailing Address1637 Perryville Rd., Boyle County High SchoolDanville, KY 40422 · (859) 236-5047 · Fax (859) 236-6826
Fax(859) 236-6826
Sole ProprietorYes
Enumeration DateMay 14, 2015
NPI 1801274550 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Specialist/Technologist · Athletic Trainer

Taxonomy 2255A2300X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Licensed in KY · AT907

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment,… Show more

1637 PERRYVILLE RD., Danville, KY 40422

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801274550, enumerated as an "individual" on May 14, 2015.

The provider is located at 1637 PERRYVILLE RD. BOYLE COUNTY HIGH SCHOOL DANVILLE, KY 40422 and the phone number is (859) 236-5047.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.