Individual
LOGAN STREETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2455 BUFORD HWY, BUFORD, GA 30518-6431
(716) 803-3475
Mailing address
1320 STANLEY ST APT 9206, SUGAR HILL, GA 30518-3817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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