NPI 1285520700

Logan Michael McClellan, MSLATATC

Practitioner Athletic Trainer Fremont, NE

Practice location

Address: 900 N Clarkson St, Fremont, NE 68025-4254
Phone: (800) 642-8382
Mailing address: 1987 Morningside Rd APT 24, Fremont, NE 68025-8900

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1231 (NE)

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Registry record

NPI: 1285520700
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2025
Record last updated: 13 Jun 2025

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.