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

Logan Shohei Kittaka

Individual provider Athletic Trainer · NPI 1184104747

Logan Shohei Kittaka is an Athletic Trainer in Piketon, Ohio. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

295 Center View Dr
Piketon, OH 45661-9099
Phone: (740) 708-9078
Show map & directions

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
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1184104747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018

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