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Logan Blair, ATC

Specialist/Technologist, Athletic Trainer in Springfield, OH. Individual provider (NPI-1).

NPI number1780133025
StatusActive
Last updated in NPPESSep 28, 2016

Details

NPI
1780133025
Entity type
Individual (NPI-1)
Name
Logan Blair
Credential
ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 28, 2016
Last updated
Sep 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT004862OHYes

Practice location

140 W Main St
Springfield, OH 45502-1368

Phone 317-468-5505

Mailing address

140 W Main St
Springfield, OH 45502-1368

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