SearchIndianaAthletic Trainer

Owen Johnson, MAT, LAT, ATC

NPI 1194667360 · on the registry since 2026 · sole proprietor

Practice

Address
1500 E Michigan St
Indianapolis, IN 46201
Phone
(920) 257-8569
Clinicians at this address
4

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana