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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH GERATD LOGAN, PTA

Active Sole Proprietor

KENNETH GERATD LOGAN, PTA is a Occupational Therapist healthcare provider located in HENDERSON, Nevada. NPI 1144917345 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · HENDERSON, NV

Registration Details

NPI Number
1144917345
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2023 (3.2964343842651 yrs)
Last Updated
Apr 19, 2023
Licenses
A-1452 (NV)
51576 (CA)
Sole Proprietor
Yes

Practice Information

Address
100 DEL MAR GARDENS DRIVE
HENDERSON, NV, 89074
Browse NV providers · Browse ZIP 89074
Phone
7023616111
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in HENDERSON, NV

Name Credential NPI
RANDI HANNAN 1134207350
ELAINE F FISHER 1083875041
MR. ANTHONY JOSEPH MORELLA PTA 1003078593
MR. RANDALL LOWE 1205121167
MS. MESSINA DAWN KLEIN LPTA 1154617348
MELODY MOLLN 1104105949
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.