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

Logan Black

Individual provider Athletic Trainer · NPI 1053293647

Logan Black is an Athletic Trainer in Lincoln, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8620 Covenant Ct
Lincoln, NE 68526-6146
Phone: (402) 318-8363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1053293647
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address8620 Covenant Ct, Lincoln, NE 68526-6146

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