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

Mr. Kyle Michael Johnson, ATC

Individual provider Athletic Trainer · NPI 1528070539

Mr. Kyle Michael Johnson, ATC is an Athletic Trainer in Springfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

320 E Carpenter St 1-B
Springfield, IL 62702-5185
Phone: (217) 744-8000
Fax: (217) 744-8004
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1528070539
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6660 Kodiak Rd, Riverton, IL 62561-6017

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