Individual
MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
5600 SUNSHINE DR, AUSTIN, TX 78756-1598
(512) 414-2519
Mailing address
9415 MCNEIL DR APT 1134, AUSTIN, TX 78750-8574
(512) 202-6251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT4305
ADVISORY BOARD OF ATHLETIC TRAINERS
TX
Enumeration date
03/05/2009
Last updated
04/27/2026
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