Individual provider · Type 1 NPI

Jeffrey Kyle Johnson, ATC

Athletic Trainer · Santa Monica, CA

NPI number 1073579199 Active

Practice location

1714 21st St
Santa Monica, CA 90404-3917

Mailing address

5780 W Centinela Ave, Apt. 301
Los Angeles, CA 90045-1599

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XNone listed

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1073579199

Jeffrey Kyle Johnson, ATC's National Provider Identifier is 1073579199, issued on Apr 26, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 13, 2026.