Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnnie Densmore III

Individual provider Athletic Trainer · NPI 1790135440

Johnnie Densmore III is an Athletic Trainer in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

4331 S Fremont Ave
Springfield, MO 65804-7328
Phone: (417) 820-5010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2015026800 (MO)

Record details

NPI number1790135440
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 14, 2016
Last updated in NPPESJune 14, 2016
Mailing address401 Race Rd, Willard, MO 65781-8334

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