Provider Demographics
NPI:1437558590
Name:POST, LOGAN DAVID (ATC)
Entity Type:Individual
Prefix:MR
First Name:LOGAN
Middle Name:DAVID
Last Name:POST
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SAGEBRUSH
Mailing Address - Street 2:
Mailing Address - City:COTO DE CAZA
Mailing Address - State:CA
Mailing Address - Zip Code:92679-5326
Mailing Address - Country:US
Mailing Address - Phone:949-887-9165
Mailing Address - Fax:
Practice Address - Street 1:3588 BRYAN
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-1347
Practice Address - Country:US
Practice Address - Phone:714-734-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer