NPI 1033770029

Logan Frederick Prins

Practitioner Athletic Trainer Moscow, ID

Practice location

Address: 875 Perimeter Dr, Moscow, ID 83844-9803
Phone: (816) 868-1839

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-712 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1033770029
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2019
Record last updated: 21 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.