Kendra Johnson, ATC, LAT
Athletic Trainer · Oconomowoc, WI
NPI number
1407411861
Practice location
39542 Golden Lake Park RdOconomowoc, WI 53066-9405
- Phone
- (262) 719-9072
NPI record
- NPI
- 1407411861
- Entity type
- Individual (Type 1)
- Enumeration date
- May 1, 2019
- Last updated
- November 27, 2023
- Certified
- June 15, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | WI |
Other practice locations (1)
- 801 15th Ave, South Milwaukee, WI 53172-1502 · (414) 325-4700
About Kendra Johnson
Kendra Johnson, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 39542 Golden Lake Park Rd, Oconomowoc, WI 53066-9405. The NPI number 1407411861 was assigned on May 1, 2019 and the record was last updated on November 27, 2023.
Frequently asked questions
What is the NPI number of Kendra Johnson, ATC, LAT?
The NPI number is 1407411861.
What is the phone number of Kendra Johnson?
The phone number listed for the practice location is (262) 719-9072.
Where is Kendra Johnson located?
39542 Golden Lake Park Rd, Oconomowoc, WI 53066-9405.
What is the taxonomy code for Kendra Johnson?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Oconomowoc
- George Karl Bernhardt, LAT, ATC1111 E Delafield Rd