IndividualActive
Garrison Chan, ATC, LAT
NPI 1164935813 · Athletic Trainer · Logan, UT
Provider details
- NPI number
- 1164935813
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7400 Old Main Hl
Logan, UT 84322-7400
Phone: (424) 200-0589
Approximate (ZIP-level) locationGet directions
Mailing address
1555 5th St
Manhattan Beach, CA 90266-6339
Registry dates
- Enumerated
- 2017-11-15
- Last updated
- 2017-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.