Logan Bryan Cook, MS,LAT,ATC
Specialist/Technologist, Athletic Trainer in Thibodaux, LA. Individual provider (NPI-1).
NPI number1396200119
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1396200119
- Entity type
- Individual (NPI-1)
- Name
- Logan Bryan Cook
- Credential
- MS,LAT,ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2019
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 326901 | LA | Yes |
Practice location
602 N Acadia RdThibodaux, LA 70301-4823
Phone 334-722-0622
Mailing address
103 Richmond AveTroy, AL 36081-4063
Phone 334-722-0622
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All 26 Athletic Trainer providers in Thibodaux · All 1,515 providers in Thibodaux
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