Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN PRESCOTT
Active Sole ProprietorLOGAN PRESCOTT is a Sports Medicine (PM&R) healthcare provider located in SPRINGFIELD, Missouri. NPI 1073168399 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1073168399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2019 (6.8839383095828 yrs)
- Last Updated
- Aug 4, 2019
- License
-
2018029949 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3545 S NATIONAL AVESPRINGFIELD, MO, 658077310Browse MO providers · Browse ZIP 65807
- Phone
- 4172693282
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| MR. TYLER WRIGHT LANDGRAF | MSED, ATC | 1639399611 |
| MR. ZACHARY C ROBERTS | ATC, CSCS | 1760627327 |
| CONNOR PARRISH | — | 1487134722 |
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.