Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN MICHAEL RICHARD
ActiveLOGAN MICHAEL RICHARD is a Physical Therapy Assistant healthcare provider located in LE MARS, Iowa. NPI 1265195606 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LE MARS, IA
Registration Details
- NPI Number
- 1265195606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2021 (4.8070853610259 yrs)
- Last Updated
- Jun 9, 2022
- License
-
112660 (IA)
Practice Information
- Address
-
789 HOLTON DRLE MARS, IA, 510313757Browse IA providers · Browse ZIP 51031
- Phone
- 7125461718
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in LE MARS, IA
| Name | Credential | NPI |
|---|---|---|
| JACOB KEVIN NESSA | DPT | 1255568291 |
| BENJAMIN JOHN NEBELSICK | PT | 1205191673 |
| ABBY JO STAINBROOK | — | 1518380682 |
| KATRINA ANN GREVENGOED | DPT | 1457131518 |
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.