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

Ryan Johnson, LAT, ATC

Individual provider Athletic Trainer · NPI 1790181212

Ryan Johnson, LAT, ATC is an Athletic Trainer in San Angelo, Texas. Licensed in South Carolina and Texas. Registered with an NPI since 2014.

Licensed in
SC, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

Asu Sta #10899
San Angelo, TX 76909
Phone: (325) 486-6047
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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 AT5557 (TX)
Athletic Trainer Taxonomy 2255A2300X · Licence 1467 (SC)

Record details

NPI number1790181212
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedNovember 11, 2014
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address850 Lucas St Apt D, Rock Hill, SC 29730-4180

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