Individual provider · NPI-1

Logan Riley Barnewolt

Specialist/Technologist, Athletic Trainer · Henderson, NV

NPI number1164211496
StatusActive
Last updated in NPPESMay 2, 2025

Details

NPI
1164211496
Entity type
Individual (NPI-1)
Name
Logan Riley Barnewolt
Sex
Male
Sole proprietor
No
Enumeration date
May 2, 2025
Certification date
May 2, 2025
Last updated
May 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1475 Raiders Way
Henderson, NV 89052-4604

Phone 702-686-5791

Mailing address

544 Trinidad Point Ct
Henderson, NV 89044-1063

Phone 702-686-5791

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