Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL LOGAN
Active Sole ProprietorRANDALL LOGAN is a Athletic Trainer healthcare provider located in GREAT FALLS, Montana. NPI 1801203039 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GREAT FALLS, MT
Registration Details
- NPI Number
- 1801203039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2014 (12.029218279248 yrs)
- Last Updated
- Apr 3, 2024
- License
-
10157554 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
228 17TH AVE NWGREAT FALLS, MT, 594041807Browse MT providers · Browse ZIP 59404
- Phone
- 4064546973
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GREAT FALLS, MT
| Name | Credential | NPI |
|---|---|---|
| MR. SHAWN ALLEN RUFF | M.S. ATC | 1831226554 |
| JUDI L. ROWE | ATC | 1043348493 |
| MS. CHRISTINE M. KELLY | M.S., A.T.,C. | 1649300336 |
| CHRISTI VIRTS | EMT-P, ATC | 1538380555 |
| MR. WILTEY RUSSELL KENDLE | ATC | 1265637177 |
| MEAGAN RENAE MACDONALD | LAT/ATC | 1417187774 |
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.