LOGAN BRYAN COOK

THIBODAUX, LA
NPI1396200119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  326901)
Enumeration Date2019-02-06
Last Update Date2024-04-23
Business Address
LOGAN BRYAN COOK MS,LAT,ATC
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone number: 334-722-0622
Mailing Address
LOGAN BRYAN COOK MS,LAT,ATC
103 RICHMOND AVE
TROY, AL 36081-4063
Phone number: 334-722-0622