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Individual

LOGAN LEE KNUTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1211 CLARY ST, WORTHINGTON, MN 56187-2005
(507) 360-5051
Mailing address
PO BOX 281, HERON LAKE, MN 56137-0281
(507) 360-5051

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3875
MN

Other

Enumeration date
10/31/2023
Last updated
01/06/2026
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