LOGAN CARLSON (NPI# 1235500760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235500760 |
| Entity Type | Individual |
| Full Name | LOGAN CARLSON |
| Practice Address |
1431 Premier Dr Mankato MN 56001-6076 |
| Practice Telephone | 5073866600 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1431 PREMIER DR |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-6076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767463 | Rochfort Wynn Kearney Jr. | Orthopaedic Surgery | 1431 Premier Dr, Mankato, MN 56001-6076 | 2006-02-07 |
| 1346863420 | Shannon Marie Lambert | Occupational Therapist | 1431 Premier Dr, Mankato, MN 56001-6076 | 2020-05-22 |
| 1871125070 | David Jeremiah Roemhildt | Physician Assistant | 1431 Premier Dr, Mankato, MN 56001-6076 | 2020-02-06 |
| 1558907519 | Amber Imani Hogan | Physician Assistant | 1431 Premier Dr, Mankato, MN 56001-6076 | 2019-11-25 |
| 1841836152 | Aricka Rose O'gorman | Specialist/Technologist | 1431 Premier Dr, Mankato, MN 56001-6076 | 2019-11-21 |
| 1386184943 | Alison Maren Huber | Physician Assistant | 1431 Premier Dr, Mankato, MN 56001-6076 | 2017-03-02 |
| 1225488679 | Allison Petzel | Physical Therapist | 1431 Premier Dr, Mankato, MN 56001-6076 | 2016-06-16 |
| 1538531454 | Justin A Schulte | Physician Assistant | 1431 Premier Dr, Mankato, MN 56001-6076 | 2015-10-30 |
| 1508237231 | Karina Lea Bertness | Specialist/Technologist | 1431 Premier Dr, Mankato, MN 56001-6076 | 2015-10-07 |
| 1689053878 | William Schultze | Physical Therapist | 1431 Premier Dr, Mankato, MN 56001-6076 | 2015-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945556 | Derek J Harder | Specialist/Technologist | 228 Wiecking Ctr, Mankato, MN 56001-6062 | 2020-09-03 |
| 1790399442 | Matthew Thomas Laclair | Specialist/Technologist | 230 Jaycee Ct Apt 205, Mankato, MN 56001-6949 | 2020-09-01 |
| 1366076614 | Miranda Carol Strelecki | Specialist/Technologist | 640 Timberwolf Dr Apt 211, Mankato, MN 56001-2657 | 2020-02-26 |
| 1528698412 | Rebecca Rose Falkiner | Specialist/Technologist | 1400 Warren St Apt H44, Mankato, MN 56001-6914 | 2020-01-20 |
| 1376017285 | Emily Ferrier | Specialist/Technologist | 730 Maywood Ave, Mankato, MN 56001-7018 | 2019-01-14 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1659870863 | Binnan Yu | Specialist/Technologist | 1400 Warren St Apt C2, Mankato, MN 56001-4964 | 2018-02-03 |
| 1083145585 | Patricia Mary Fields | Specialist/Technologist | 240 Jaycee Ct Apt 109, Mankato, MN 56001-6943 | 2017-03-26 |
| 1215478797 | Alyssa O'neil Finke | Specialist/Technologist | 160 Fairway Dr, Mankato, MN 56001-3149 | 2017-03-16 |
| Find all providers in MANKATO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.