JUSTIN WALTER LOGAN AT, ATC
NPI 1962912659
Specialist/Technologist - Athletic Trainer in Adrian, MI

Q: What is Justin Logan's NPI number?

The NPI number for Justin Logan is 1962912659. It was assigned to this individual provider in the NPPES registry on October 7, 2017.

Q: What is Justin Logan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Justin Logan was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2017

1247 E SIENA HEIGHTS DR, ADRIAN, MI 49221(517) 264-7870 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Justin Walter Logan At, Atc NPPES

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

JUSTIN WALTER LOGAN AT, ATC (NPI 1962912659) is an individual athletic trainer provider in Adrian, Michigan, licensed in Michigan (2601001786) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1962912659

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJUSTIN WALTER LOGANCredential: AT, ATC

Location Address1247 E SIENA HEIGHTS DRAdrian, MI 49221-1755

Mailing Address834 Navarre StMonroe, MI 48161-1348 · (734) 552-8862

Phone(517) 264-7870

Sole ProprietorYes

Enumeration DateOctober 7, 2017

Last NPPES UpdateApril 20, 2023

NPPES CertifiedApril 20, 2023

✔ NPI 1962912659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MI · 2601001786

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1247 E SIENA HEIGHTS DR, Adrian, MI 49221

Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER SULLIVAN

Specialist/Technologist (Athletic Trainer)