Individual provider · Type 1 NPI

Owen Johnson, MAT, LAT, ATC

Athletic Trainer · Indianapolis, IN

NPI number 1194667360 Active

Practice location

1500 E Michigan St
Indianapolis, IN 46201-3079

Mailing address

6651 Buckhorn Dr Apt 611
Indianapolis, IN 46254-6214

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X36004022A (IN)

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 1194667360

Owen Johnson, MAT, LAT, ATC's National Provider Identifier is 1194667360, issued on Apr 7, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 7, 2026.