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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477947547

Logan Michael Wood, ATC, LAT is a Student in an Organized Health Care Education/Training Program in Maryville, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

800 University Dr Northwest Missouri State University
Maryville, MO 64468-6015
Phone: (712) 309-8122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 2016032963 (MO)

Record details

NPI number1477947547
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESNovember 18, 2016

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