Logan Ciotta

NPI #1366809394 in Logansport, Indiana

Provider Information

NPI Number: 1366809394
Entity Type: Individual
Name: Logan Ciotta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 21, 2016
Last Updated: Jan 21, 2016

Practice Location

Address: 2452 BURLINGTON AVE
City: Logansport
State: Indiana
ZIP Code: 46947-9697
Phone: (574) 727-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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