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

Mr. Logan Benedict

Individual provider Athletic Trainer · NPI 1508588088

Mr. Logan Benedict is an Athletic Trainer in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022

Practice location Address checks out

1155 W Parkview St
Bolivar, MO 65613-7801
Phone: (417) 777-7763
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2023035475 (MO)

Record details

NPI number1508588088
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address659 Kays Point Rd, Lake Ozark, MO 65049-4779

Other providers in Bolivar