# MR. LOGAN MENEAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023610540
- **Gender:** Man
- **Credential:** LAT, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | AT006235 | OH | Yes |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 11/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2000034930 | BOC CERTIFICATION | — |
| 01 | — | AT006235 | AT LICENSURE | OH |