National Provider Identifier
Kasandra Johnson, BS, ATC
Kasandra Johnson, BS, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (518) 681-7243.
Profile Overview
- NPI
- 1891412516
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- October 24, 2022
- Last Updated
- October 24, 2022
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (518) 681-7243
Mailing Address
- 78 Hathorn Blvd
- Saratoga Springs, NY 12866-8809
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1891412516
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Kasandra
- Name Prefix
- MS.
- Credential
- BS, ATC
- Mailing Street Address
- 78 Hathorn Blvd
- Mailing City
- Saratoga Springs
- Mailing State
- NY
- Mailing ZIP Code
- 12866-8809
- Mailing Country
- US
- Mailing Phone
- (518) 681-7243
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (518) 681-7243
- Enumeration Date
- October 24, 2022
- Last Updated
- October 24, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)