LOGAN MICHAEL WOOD ATC, LAT
NPI 1477947547
Student in an Organized Health Care Education/Training Program in Maryville, MO

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 26, 2015

800 UNIVERSITY DR, NORTHWEST MISSOURI STATE UNIVERSITY, MARYVILLE, MO 64468(712) 309-8122 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Logan Michael Wood Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN MICHAEL WOOD ATC, LAT (NPI 1477947547) is an individual student in an organized health care education/training program in Maryville, Missouri, licensed in Missouri (2016032963) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1477947547

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLOGAN MICHAEL WOODCredential: ATC, LAT

Location Address800 UNIVERSITY DR, NORTHWEST MISSOURI STATE UNIVERSITYMaryville, MO 64468-6015

Mailing Address810 Park StTabor, IA 51653-2027 · (712) 309-8122

Phone(712) 309-8122

Sole ProprietorNo

Enumeration DateMarch 26, 2015

Last NPPES UpdateNovember 18, 2016

✔ NPI 1477947547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MO · 2016032963

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.

800 UNIVERSITY DR, Maryville, MO 64468

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