OrganizationActive
Utah State Universiry
NPI 1164971925 · Athletic Trainer · Logan, UT
Provider details
- NPI number
- 1164971925
- Entity type
- Organization
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michael Williams, Associate Ad for Athletic Training(435) 797-3444
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% 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
7425 Old Main Hl
Logan, UT 84322-2400
Phone: (435) 797-3444
Approximate (ZIP-level) locationGet directions
Mailing address
7425 Old Main Hill
Logan, UT 84322-2400
Registry dates
- Enumerated
- 2016-09-22
- Last updated
- 2016-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.