Individual
LOGAN MICHAEL MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
900 N CLARKSON ST, FREMONT, NE 68025-4254
(800) 642-8382
Mailing address
1987 MORNINGSIDE RD APT 24, FREMONT, NE 68025-8900
(913) 212-8189
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1231
NE
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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