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KENDRA JOHNSON ATC, LAT
NPI 1407411861
Specialist/Technologist - Athletic Trainer in Oconomowoc, WI

Active since May 01, 2019
39542 GOLDEN LAKE PARK RD, OCONOMOWOC, WI 53066(262) 719-9072 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 15, 2020, May 1, 2019 (2 updates tracked since 2019).

About Kendra Johnson Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA JOHNSON ATC, LAT (NPI 1407411861) is an individual athletic trainer provider in Oconomowoc, Wisconsin and active in the NPI registry since May 2019. She maintains a secondary practice location in South Milwaukee.

NPPES Registry Identity

NPI1407411861
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKENDRA JOHNSONCredential: ATC, LAT
Location Address39542 GOLDEN LAKE PARK RDOconomowoc, WI 53066-9405
Mailing Address39542 Golden Lake Park RdOconomowoc, WI 53066-9405 · (262) 719-9072
Phone(262) 719-9072
Sole ProprietorYes
Enumeration DateMay 1, 2019
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
✔ NPI 1407411861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
39542 GOLDEN LAKE PARK RD, Oconomowoc, WI 53066
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Secondary Practice Location 1

Location 1801 15th AveSouth Milwaukee, WI 53172-1502 · Phone (414) 325-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Johnson's NPI number?

The NPI number for Kendra Johnson is 1407411861. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Kendra Johnson located?

Kendra Johnson practices at 39542 Golden Lake Park Rd, Oconomowoc, WI 53066. The listed phone number is (262) 719-9072.

What is Kendra Johnson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kendra Johnson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.