Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN RAICHLE
ActiveLOGAN RAICHLE is a Physical Therapy Assistant healthcare provider located in SOUTHPORT, North Carolina. NPI 1104609148 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SOUTHPORT, NC
Registration Details
- NPI Number
- 1104609148
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2023 (2.8156121339683 yrs)
- Last Updated
- Aug 15, 2023
Practice Information
- Address
-
5013 SOUTHPORT CROSSING WAY STE 204SOUTHPORT, NC, 284612206Browse NC providers · Browse ZIP 28461
- Phone
- 9106049550
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SOUTHPORT, NC
| Name | Credential | NPI |
|---|---|---|
| MR. NIKOLOS WILLIAM BOEHMER | PT, DPT | 1174502645 |
| CHRISTINA VALVANO ENGLAND | PT | 1326028754 |
| JOAN TAYLOR-WEBB | DPT | 1225009277 |
| MR. GARRETT JAMES FITZGIBBONS | PT | 1467461475 |
| KATHLEEN P BIRON | PT | 1902919400 |
| PAMELA R DEHNE | PT | 1164538898 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.