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AUTUMN MCKENZIE JOHNSON, MAT, LAT, ATC

Active Sole Proprietor

AUTUMN MCKENZIE JOHNSON, MAT, LAT, ATC is a Athletic Trainer healthcare provider located in LITTLE RIVER, South Carolina. NPI 1982562203 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LITTLE RIVER, SC

Registration Details

NPI Number
1982562203
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2026 (0.54640071934402 yrs)
Last Updated
Jan 14, 2026
License
ATR.1854ATH (SC)
Sole Proprietor
Yes

Practice Information

Address
4000 HIGHWAY 9 E
LITTLE RIVER, SC, 295667833
Browse SC providers · Browse ZIP 29566
Phone
8433908100
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LITTLE RIVER, SC

Name Credential NPI
KELLI MOLNAR 1477335479
LAUREN HEALY CARPENTER MS, LAT, ATC 1366248627
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.