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

Shanice Johnson, LAT, ATC

Individual provider Athletic Trainer · NPI 1174889349

Shanice Johnson, LAT, ATC is an Athletic Trainer in Terre Haute, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
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

Wellness And Applied Medicine Rm 201 5TH ST
Terre Haute, IN 47809-0001
Phone: (812) 237-9613
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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 36001923A (IN)

Record details

NPI number1174889349
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESApril 2, 2012

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