Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Samantha Maria Johnson, AT, ATC, NASM-CPT

Individual provider Athletic Trainer · NPI 1750880647

Mrs. Samantha Maria Johnson, AT, ATC, NASM-CPT is an Athletic Trainer in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1300 Michigan St NE Ste 200
Grand Rapids, MI 49503-2029
Phone: (616) 267-8219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601001073 (MI)

Record details

NPI number1750880647
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT , ATC , NASM-CPT
Sole proprietorYes
NPI enumeratedFebruary 6, 2018
Last updated in NPPESFebruary 6, 2018

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