Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LOGAN BENEDICT
ActiveMR. LOGAN BENEDICT is a Athletic Trainer healthcare provider located in BOLIVAR, Missouri. NPI 1508588088 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOLIVAR, MO
Registration Details
- NPI Number
- 1508588088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2022 (3.8749028493126 yrs)
- Last Updated
- Nov 6, 2025
- License
-
2023035475 (MO)
Practice Information
- Address
-
1155 W PARKVIEW STBOLIVAR, MO, 656137801Browse MO providers · Browse ZIP 65613
- Phone
- 4177777763
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BOLIVAR, MO
| Name | Credential | NPI |
|---|---|---|
| PROF. TODD ALLEN JOHN | ATC/L | 1578555868 |
| MR. MORGAN WAYNE SIMPSON | ATC, LAT | 1295727667 |
| MR. DAVID ALAN GORDON | AT | 1558334771 |
| MR. MIKE ALLEN WOLHOY | ATC | 1871690586 |
| MRS. JESSICA HICKS | AT | 1972631604 |
| MR. JASON CLIFFORD HALVERSON | MA, ATC, CSCS | 1396954004 |
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.