Individual provider · Type 1 NPI

Kristine Elizabeth Johnson, ATC

Athletic Trainer · Fort Drum, NY

NPI number 1083948376 Active

Practice location

4450 Camp Swift Rd, Fort Drum
Fort Drum, NY 13602

Call (315) 262-4925 Map

Mailing address

23 Crescent St
Canton, NY 13617-1105

Other practice locations

23 Romoda Dr, Augsbury, Athletic Training Room, Canton, NY 13617-1423 · (315) 229-5759
44 Pierrepont Ave, Potsdam, NY 13676 · (315) 267-2074

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer	2255A2300X	RT004512 (PA)
Athletic Trainer Primary	2255A2300X	001950 (NY)

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…

2 other providers at this address

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About NPI 1083948376

Kristine Elizabeth Johnson, ATC's National Provider Identifier is 1083948376, issued on Sep 20, 2009. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Fort Drum, NY. The record was last updated on Nov 7, 2025.