NPI 1104211101

Logan Nagel, ATCL

Practitioner Athletic Trainer Las Cruces, NM

Practice location

Address: 1815 Wells St, Las Cruces, NM 88003-1304
Phone: (575) 646-7574
Mailing address: 142 Beatrice Ln, Chillicothe, OH 45601-7834

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 572 (NM)

Other Specialist/Technologist providers in New Mexico →

Registry record

NPI: 1104211101
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2015
Record last updated: 6 Apr 2015

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.