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

Nicole Johnson, ATC

Individual provider Athletic Trainer · NPI 1679169882

Nicole Johnson, ATC is an Athletic Trainer in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
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

5707 Highway 7 Apt 107
St Louis Park, MN 55416-2391
Phone: (651) 408-2624
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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 3297 (MN)

Record details

NPI number1679169882
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedDecember 12, 2020
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020
Mailing address5707 Highway 7 Apt 107, Minneapolis, MN 55416-2391

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