DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOGAN MICHAEL WOOD, ATC, LAT

Active

LOGAN MICHAEL WOOD, ATC, LAT is a Student (Health Education/Training) healthcare provider located in MARYVILLE, Missouri. NPI 1477947547 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · MARYVILLE, MO

Registration Details

NPI Number
1477947547
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2015 (11.348729358103 yrs)
Last Updated
Nov 18, 2016
License
2016032963 (MO)

Practice Information

Address
800 UNIVERSITY DR
NORTHWEST MISSOURI STATE UNIVERSITY
MARYVILLE, MO, 644686015
Browse MO providers · Browse ZIP 64468
Phone
7123098122
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in MARYVILLE, MO

Name Credential NPI
MARK MASALSKIS ATC, LAT 1750821260
GAGE GRISPINO 1649866005
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.