Individual
LOGAN BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 FORBES AVE, PITTSBURGH, PA 15219-3016
(412) 396-6000
Mailing address
3774 W 139TH ST, CLEVELAND, OH 44111-4460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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