Individual
LOGAN CLAYTON SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LAT ATC
Contact information
Practice address
521 W 4TH AVE, SPOKANE, WA 99204-2603
(208) 699-7845
Mailing address
521 W 4TH AVE, SPOKANE, WA 99204-2603
(208) 699-7845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161184058
WA
Other
Enumeration date
05/30/2019
Last updated
09/16/2023
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