NPI 1174512461

John J Johnsen, LAT

Practitioner Athletic Trainer Oshkosh, WI

Practice location

Address: 800 Algoma Blvd, Oshkosh, WI 54901-3551
Phone: (920) 424-3225
Mailing address: 1570 Midway Pl, Menasha, WI 54952-1165

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 4939 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1174512461
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.