Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN CHANDLER BLAKE, PT, DPT
ActivePhysical Therapy Assistant · DECATUR, AL
Registration Details
- NPI Number
- 1326786187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2022 (3.9334314161503 yrs)
- Last Updated
- Dec 2, 2024
- License
-
PTH10812 (AL)
Practice Information
- Address
-
1111 KNIGHT ST SEDECATUR, AL, 356016501Browse AL providers · Browse ZIP 35601
- Phone
- 2569731552
- Fax
- 2569731553
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DECATUR, AL
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHRYN SULCER | RPT | 1295716975 |
| MRS. LISA G SMITH | RPT | 1932175759 |
| CRAIG L STRONG | PT | 1831123652 |
| BARRI BRITTAIN LENOX | PT | 1356362537 |
| PAUL GLENN HENDERSON | PT | 1376566570 |
| LAURA ROBERTSON | — | 1407959307 |
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.