Logan Michael Wood, ATC, LAT is a student in an organized health care education training program in Maryville, MO. The provider is 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. Logan Michael Wood, ATC, LAT NPI is 1477947547. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
800 UNIVERSITY DR
NORTHWEST MISSOURI STATE UNIVERSITY
MARYVILLE, MO
ZIP 64468-015
Phone: (712) 309-8122
The enumeration date for this NPI number is 3/26/2015 and was last updated on 11/18/2016.