LOGAN WILLHITE

MANKATO, MN
NPI1093176547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  106014)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-11
Last Update Date2020-09-18
Business Address
LOGAN WILLHITE
1025 MARSH ST
MANKATO, MN 56001
Phone number: 507-625-4031
Mailing Address
LOGAN WILLHITE
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: 507-625-4031