Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Walter Logan, AT, ATC

Individual provider Athletic Trainer · NPI 1962912659

Justin Walter Logan, AT, ATC is an Athletic Trainer in Adrian, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1247 E Siena Heights Dr
Adrian, MI 49221-1755
Phone: (517) 264-7870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601001786 (MI)

Record details

NPI number1962912659
Entity typeIndividual (Type 1)
GenderMale
Credentials AT , ATC
Sole proprietorYes
NPI enumeratedOctober 7, 2017
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

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