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Logan Michael Wood, ATC,LAT
Student in an Organized Health Care Education/Training Program in Maryville, Missouri
NPI 1477947547

Logan Michael Wood is a Student in an Organized Health Care Education/Training Program based in Tabor, MO. Logan Michael Wood practices in Maryville, MO and has the professional credentials of ATC,LAT. The NPI Number for Logan Michael Wood is 1477947547 and holds a License No. 2016032963 (Missouri).

The current practice location address for Logan Michael Wood is 800 University Dr, Maryville, MO and can be reached out via phone at 712-309-8122.

Location: 800 University Dr, Maryville, MO, 51653-2027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477947547
Provider Name
Logan Michael Wood
Credential
ATC,LAT
Provider Entity Type
Individual
Gender
Male
Address
800 University Dr, Maryville, MO, 51653-2027
Phone Number
712-309-8122
Fax Number
Provider Enumeration Date
03/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 University Dr
City
Maryville
State
Missouri
Zip
64468-6015
Phone Number
712-309-8122
Fax Number
person
Provider Business Mailing Address Details
Address
800 University Dr
City
Maryville
State
Missouri
Zip
64468-6015
Phone Number
712-309-8122
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2016032963 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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